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Organization
RENAISSANCE LEARNING CTR
Active
Organization
RENAISSANCE LEARNING CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA JOHNSON MED (EXECUTIVE DIRECTOR)
(561) 640-0271
Entity
Organization
Contact information
Practice address
5800 CORPORATE WAY, WEST PALM BEACH, FL 33407
(561) 640-0270
(561) 640-0271
Mailing address
5800 CORPORATE WAY, WEST PALM BEACH, FL 33407
(561) 640-0270
(561) 640-0271
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
FL
235Z00000X
Speech-Language Pathologist
—
FL
251300000X
Local Education Agency (LEA)
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692200796
—
FL
Enumeration date
05/19/2008
Last updated
05/19/2008
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