| NPI | 1922335363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | D S Owner 813-495-0188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2019-02-14 |