| NPI | 1760071617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDALL NORMAN Speech Language Pathologist 850-800-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-02-11 |