| NPI | 1972800639 |
|---|---|
| Former Legal Business Name | PEDIATRIC SPEECH AND SWALLOWING SERVICES |
| Entity Type | Organization |
| Authorized Contact | TINA MARIE STEWART Office Administrator 850-226-7411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2020-03-31 |