| NPI | 1912965856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PELLEGRINO Owner 850-878-0609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA2251) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2012-04-12 |