| NPI | 1770130643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELINA TERECHTCHENKO Speech Therapist 813-943-7163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-08-24 |
| Last Update Date | 2019-08-24 |