NPI | 1821430224 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGIE TRAVERS Speech Language Pathologist 904-318-2995 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4978) |
Enumeration Date | 2013-07-25 |
Last Update Date | 2013-07-25 |