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Organization
SOL REHABILITATION
Active
Organization
SOL REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULISA CHRYSAFI MS, CCC-SLP, CBIS (SPEECH LANGUAGE PATHOLOGIST)
(631) 902-8318
Entity
Organization
Contact information
Practice address
1211 SW 14TH ST, CAPE CORAL, FL 33991-2904
(631) 902-8318
Mailing address
1211 SW 14TH ST, CAPE CORAL, FL 33991-2904
(631) 902-8318
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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