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Speech-Language Pathologist · CRESTVIEW, FL

Organization Active NPI 1013783711

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Speech-Language Pathologist235Z00000X
Physical Therapy Clinic/Center261QP2000X
Occupational Medicine Clinic/Center261QX0100X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.