| NPI | 1811261928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN F MATTINGLY Director/Speech Language Pathologis 561-641-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6347) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2024-01-18 |