| NPI | 1730202615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY KANSO Speech Language Pathologist 850-624-1721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 4159) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2020-08-22 |