| NPI | 1972721439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY MARIE LUQUE Speech Language Pathologist/Pres. 772-336-6928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2024-04-26 |