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Organization
PEDIATRIC THERAPY GROUP INC.
Active
Organization
PEDIATRIC THERAPY GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MUSGRAVE SLP (OWNER)
(561) 523-5377
Entity
Organization
Contact information
Practice address
600 XANADU PL, JUPITER, FL 33477-6449
(561) 523-5377
Mailing address
600 XANADU PL, JUPITER, FL 33477-6449
(561) 523-5377
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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