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Organization
CHILD THERAPY INNOVATIONS
Active
Organization
CHILD THERAPY INNOVATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA MALTBY M.A. CCC-SLP (OWNER)
(305) 934-2689
Entity
Organization
Contact information
Practice address
6401 SW 87TH AVE, SUITE 114, MIAMI, FL 33173-2500
(305) 934-2689
Mailing address
PO BOX 558263, MIAMI, FL 33255-8263
(305) 934-2689
(786) 409-7677
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA11562
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003735600
—
FL
05
—
006782200
—
FL
Enumeration date
02/12/2013
Last updated
02/12/2013
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