| NPI | 1912413725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKY REALES Owner 813-418-2513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA13841) |
| Enumeration Date | 2017-12-17 |
| Last Update Date | 2017-12-17 |