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Organization
ESSENTIAL SKILLS PEDIATRIC THERAPY LLC
Active
Organization
ESSENTIAL SKILLS PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE GOOCH (OWNER)
(727) 808-8986
Entity
Organization
Contact information
Practice address
5162 MARINER BLVD, SPRING HILL, FL 34609-1802
(352) 600-8300
Mailing address
5162 MARINER BLVD, SPRING HILL, FL 34609-1802
(352) 600-8300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
04/18/2023
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