| NPI | 1871998039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZ S FUENTES Clinical Director, Otr/L 305-378-5247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6924) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |