Organization · NPI-2
Community Children'S Therapy, INC
Speech-Language Pathologist, · Cooper City, FL
NPI number1245830595
StatusActive
Last updated in NPPESOct 27, 2020
Details
- NPI
- 1245830595
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Children'S Therapy, INC
- Organization subpart
- No
- Enumeration date
- Oct 27, 2020
- Certification date
- Oct 27, 2020
- Last updated
- Oct 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
| 222Q00000X | Developmental Therapist | – | – | |
| 2251P0200X | Physical Therapist, Pediatrics | – | – | |
| 225XP0200X | Occupational Therapist, Pediatrics | – | – | |
| 261QM3000X | Clinic/Center, Medically Fragile Infants and Children Day Care | – | – |
Practice location
12353 Natalies Cove RdCooper City, FL 33330
Phone 954-680-4219
Mailing address
12353 Natalies Cove RdCooper City, FL 33330
Phone 954-680-4219
Authorized official
Sara A Pitts
Owner
9548888081
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