| NPI | 1861172363 |
|---|---|
| Doing Business As | FUNCTIONAL SPEECH THERAPY |
| Entity Type | Organization |
| Authorized Contact | JORDAN WRIGHT GONZALEZ CEO 949-547-3909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-07-19 |