| NPI | 1972676187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA MASBAD President 386-672-8547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |