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Organization
HAND SPEECH THERAPY
Active
Organization
HAND SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY KELLER (OFFICE MANAGER)
(336) 703-8872
Entity
Organization
Contact information
Practice address
9726 TAYLOR ROSE LN, LARGO, FL 33777-2288
(919) 548-2130
Mailing address
5884 ODENTON LN, PFAFFTOWN, NC 27040-9812
(336) 703-8872
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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