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Organization
BONAVOX THERAPIES INC.
Active
Organization
BONAVOX THERAPIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIETRA KATHY VON TABORSKY M.A.CCC-SLP (SPEECH THERAPIST)
(407) 766-6315
Entity
Organization
Contact information
Practice address
4033 IBIS DR, ORLANDO, FL 32803-3043
(407) 776-6631
Mailing address
4033 IBIS DR, ORLANDO, FL 32803-3043
(407) 776-6631
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA9486
FL
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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