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Organization
SUNRISE THERAPY SERVICES LLC
Active
Organization
SUNRISE THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA ANNE TERRY M.S., CCC-SLP (OWNER)
(239) 300-5966
Entity
Organization
Contact information
Practice address
8951 BONITA BEACH RD SE STE 525317, BONITA SPRINGS, FL 34135-4201
(239) 300-5966
Mailing address
8951 BONITA BEACH RD SE STE 525317, BONITA SPRINGS, FL 34135-4201
(239) 300-5966
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 12253
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010976400
—
FL
Enumeration date
04/18/2014
Last updated
12/23/2014
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