NPI | 1770806192 |
---|---|
Entity Type | Organization |
Authorized Contact | AMBER LOUISE RANKIN Owner 772-528-2654 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA7952) |
Enumeration Date | 2010-03-12 |
Last Update Date | 2010-03-12 |