| NPI | 1841413010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY N BLOOM Speech Pathologist 954-236-9415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6787) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2008-10-29 |