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Organization
ACCESS THERAPIES LLC
Active
Organization
ACCESS THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY BOLITHO (SOLE MEMBER)
(321) 480-9049
Entity
Organization
Contact information
Practice address
322 NW CORNELL AVE, PORT ST LUCIE, FL 34983-1150
(321) 480-9049
Mailing address
322 NW CORNELL AVE, PORT ST LUCIE, FL 34983-1150
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
SZ7214
FL
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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