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Organization
KIDS MPOWERED
Active
Organization
KIDS MPOWERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GENEVA E. AUSTIN M.S., CCC/SLP (SPEECH-LANGUAGE PATHOLOGIST)
(813) 767-8740
Entity
Organization
Contact information
Practice address
649 E ALEXANDER ST, PLANT CITY, FL 33563-7126
(813) 767-8740
(813) 473-4621
Mailing address
649 E ALEXANDER ST, PLANT CITY, FL 33563-7126
(813) 767-8740
(813) 473-4621
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
OT3546
FL
235Z00000X
Speech-Language Pathologist
Primary
SA7832
FL
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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