NPI | 1942519103 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIDGETT ELAINE DIMANT Speech Language Pathologist 407-285-7907 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 9096) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 017434700) |
225100000X Physical Therapist | |
2251P0200X Physical Therapist, Pediatrics | |
225X00000X Occupational Therapist | |
225XF0002X Occupational Therapist, Feeding, Eating & Swallowing | |
235Z00000X Speech-Language Pathologist, | |
252Y00000X Early Intervention Provider Agency | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2010-10-05 |
Last Update Date | 2025-03-13 |