Easter Seals
Speech-Language Pathologist, in Daytona Beach, FL. Organization (NPI-2).
NPI number1710022751
StatusActive
Last updated in NPPESFeb 28, 2008
Details
- NPI
- 1710022751
- Entity type
- Organization (NPI-2)
- Legal business name
- Easter Seals
- Organization subpart
- No
- Enumeration date
- Feb 20, 2007
- Last updated
- Feb 28, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | FL | Yes |
Practice location
1219 Dunn AveDaytona Beach, FL 32114-2405
Phone 386-255-4568 · Fax 386-252-3403
Mailing address
1219 Dunn AveDaytona Beach, FL 32114-2405
Phone 386-255-4568 · Fax 386-252-3403
Authorized official
Tomi E Gentile
Therapy Manager
3862554568
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