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Organization
INNOVATIVE THERAPY SOLUTIONS
Active
Organization
INNOVATIVE THERAPY SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMBERLY L WANNAMAKER MA, CCC-SLP (SPEECH PATHOLOGIST)
(646) 922-4002
Entity
Organization
Contact information
Practice address
1330 5TH AVE, 6I, NEW YORK, NY 10026-3900
(646) 922-4002
Mailing address
1330 5TH AVE, 6I, NEW YORK, NY 10026-3900
(646) 922-4002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
018351
NY
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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