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Organization
PEDIATRIC THERAPY SERVICES OF GREATER ORLANDO, LLC
Active
Organization
PEDIATRIC THERAPY SERVICES OF GREATER ORLANDO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA LORENE CARSON MS, CCC-SLP (OWNER)
(407) 491-3825
Entity
Organization
Contact information
Practice address
301 S WEST CROWN POINTE RD, SUITE 150, WINTER GARDEN, FL 34787
(407) 905-8905
(407) 905-8958
Mailing address
5036 DR. PHILIPS BLVD., SUITE 364, ORLANDO, FL 32819-3319
(407) 491-3825
(407) 905-8958
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT19866
FL
225100000X
Physical Therapist
PT7810
FL
225X00000X
Occupational Therapist
Primary
OT-499
FL
235Z00000X
Speech-Language Pathologist
SA6784
FL
235Z00000X
Speech-Language Pathologist
SA7850
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120013700
—
FL
05
—
812291100
—
FL
05
—
890158900
—
FL
Enumeration date
08/06/2006
Last updated
06/13/2024
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