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Organization
SPEECH LAB THERAPY CENTER LLC
Active
Organization
SPEECH LAB THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH GIOVANNI GAUTIER (MANAGER)
(321) 300-9320
Entity
Organization
Contact information
Practice address
3837 SAN ISIDRO CIR, SAINT CLOUD, FL 34772-8377
(321) 300-9320
Mailing address
3837 SAN ISIDRO CIR, SAINT CLOUD, FL 34772-8377
(321) 300-9320
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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