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Organization
EASTSIDE SPEECH LLC
Active
Organization
EASTSIDE SPEECH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN JORDAN SLP (VICE PRESIDENT)
(954) 599-4185
Entity
Organization
Contact information
Practice address
10168 W SAMPLE RD, CORAL SPRINGS, FL 33065-3938
(954) 344-9004
(866) 210-0998
Mailing address
10168 W SAMPLE RD, CORAL SPRINGS, FL 33065-3938
(954) 344-9004
(866) 210-0998
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/11/2008
Last updated
01/13/2009
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