501 C Outsource Corporation
Developmental Therapist in North Fort Myers, FL. Organization (NPI-2).
NPI number1295002822
StatusActive
Last updated in NPPESNov 28, 2011
Details
- NPI
- 1295002822
- Entity type
- Organization (NPI-2)
- Legal business name
- 501 C Outsource Corporation
- Organization subpart
- No
- Enumeration date
- Nov 28, 2011
- Last updated
- Nov 28, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | – | – | Yes |
Practice location
15397 Moonraker Ct Apt 603North Fort Myers, FL 33917-3100
Phone 239-543-5856 · Fax 239-543-5856
Mailing address
15397 Moonraker Ct Apt 603North Fort Myers, FL 33917-3100
Authorized official
Joan E Foss
President
2395435856
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