Shining Start, LLC
Developmental Therapist in Panama City, FL. Organization (NPI-2).
NPI number1730516071
StatusActive
Last updated in NPPESJul 31, 2014
Details
- NPI
- 1730516071
- Entity type
- Organization (NPI-2)
- Legal business name
- Shining Start, LLC
- Organization subpart
- No
- Enumeration date
- Oct 1, 2013
- Last updated
- Jul 31, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | – | – | Yes |
Practice location
1913 Grant AvePanama City, FL 32405-1525
Phone 850-814-1473
Mailing address
1913 Grant AvePanama City, FL 32405-1525
Phone 850-814-1473
Authorized official
Stefany Ingram
Itds
8508141473
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- Renee PelacheNPI 1265754659
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All 11 Developmental Therapist providers in Panama City · All 3,478 providers in Panama City
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