| NPI | 1740575992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENNILLE JOPLIN Owner 813-391-8398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA7641) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-06-16 |