| NPI | 1770316986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI LYN BOYLEN Speech Language Pathologist 561-660-4265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-08-22 |