| NPI | 1831875095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASHANTHI PENDEM Speech Language Pathologist 863-602-6209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2023-06-23 |