| NPI | 1841562428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GIANNAMORE Owner 772-563-7242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 3140) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |