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Organization
PEDIATRIC THERAPIES OF BREVARD, LLC
Active
Organization
PEDIATRIC THERAPIES OF BREVARD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI A ALLERTON M.A.CCC/SLP (OWNER)
(321) 749-1863
Entity
Organization
Contact information
Practice address
4353 PINEWOOD RD, MELBOURNE, FL 32934-9071
(321) 749-1863
(321) 751-3185
Mailing address
4353 PINEWOOD RD, MELBOURNE, FL 32934-9071
(321) 749-1863
(321) 751-3185
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 4022
FL
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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