| 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 |