| NPI | 1902195712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA B PENN Speech Language Pathologist 239-580-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 10710) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-01 |