| NPI | 1760940274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MARTINEZ Owner / Speech Language Pathologist 786-306-9863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |