| NPI | 1952520397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MARIE JORDAN Member 954-599-4185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6628) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-10-17 |