Organization · NPI-2

Family First Therapy INC.

Speech-Language Pathologist, · Lutz, FL

NPI number1760875678

StatusActive

Last updated in NPPESDec 12, 2024

Details

NPI: 1760875678
Entity type: Organization (NPI-2)
Legal business name: Family First Therapy INC.
Organization subpart: No
Enumeration date: Mar 17, 2015
Certification date: Dec 12, 2024
Last updated: Dec 12, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
235Z00000X	Speech-Language Pathologist,	SA 6573	FL	Yes
252Y00000X	Early Intervention Provider Agency	SA 6573	FL
261Q00000X	Clinic/Center	–	–
261QP2000X	Clinic/Center, Physical Therapy	–	–

Practice location

207 Crystal Grove Blvd
Lutz, FL 33548-6409

Phone 813-848-0341 · Fax 813-540-8271

Mailing address

207 Crystal Grove Blvd
Lutz, FL 33548-6409

Phone 813-848-0341 · Fax 813-540-8271

Authorized official

Aleisha Wilber Vanamburg
Ceo
8133895301

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