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Organization
PEDIATRIC POTENTIALS THERAPY
Active
Organization
PEDIATRIC POTENTIALS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA WEBSTER MACCC-SLP (SLP/OWNER)
(305) 321-4343
Entity
Organization
Contact information
Practice address
9750 NW 33RD ST, SUITE 209, CORAL SPRINGS, FL 33065-4042
(305) 321-4343
(954) 827-0308
Mailing address
9750 NW 33RD ST, SUITE 209, CORAL SPRINGS, FL 33065-4042
(305) 321-4343
(954) 827-0308
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
SA 10752
FL
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/02/2011
Last updated
03/14/2022
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