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Organization
ACG THERAPY CENTER, INC
Active
Organization
ACG THERAPY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP WEIL (OWNER)
(352) 372-0047
Entity
Organization
Contact information
Practice address
4907 NW 43RD STREET, SUITE C, GAINESVILLE, FL 32606-2007
(352) 372-0047
(352) 372-4701
Mailing address
4907 NW 43RD STREET, SUITE C, GAINESVILLE, FL 32606-2007
(352) 372-0047
(352) 372-4701
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NULL
103K00000X
Behavior Analyst
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022992900
—
FL
05
—
884949800
—
FL
Enumeration date
09/30/2005
Last updated
01/31/2024
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