NPI | 1962870774 |
---|---|
Entity Type | Organization |
Authorized Contact | MARISSA PENDLEY Owner 239-248-0458 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA4153) |
Enumeration Date | 2015-09-10 |
Last Update Date | 2015-09-10 |