| NPI | 1942631775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEQUESTA D THOMAS-ALLEN Speech Language Pathologist 813-205-0969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2014-07-21 |