Colligo Speech Language Pathology, PA
Speech-Language Pathologist, in Plantation, FL. Organization (NPI-2).
NPI number1164097184
StatusActive
Last updated in NPPESJan 21, 2022
Details
- NPI
- 1164097184
- Entity type
- Organization (NPI-2)
- Legal business name
- Colligo Speech Language Pathology, PA
- Organization subpart
- No
- Enumeration date
- May 21, 2021
- Certification date
- Jan 21, 2022
- Last updated
- Jan 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
8830 S Lake Dasha DrPlantation, FL 33324-3011
Phone 305-283-4800
Mailing address
8830 S Lake Dasha DrPlantation, FL 33324-3011
Phone 305-283-4800
Authorized official
Kris-Ann Chin-Ambrose
President
3052834800
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