| NPI | 1861105983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONETTE BENNETT Speech Language Pathologist 954-907-1233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-01-04 |