| NPI | 1992338792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE MOSELEY Owner 904-707-5948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2024-04-23 |