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Organization
OUR CHILDREN'S MIDDLE ACADEMY
Active
Organization
OUR CHILDREN'S MIDDLE ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY REMOR (BILLING REPRESENTATIVE)
(863) 294-1429
Entity
Organization
Contact information
Practice address
150 AVENUE B, SE, WINTER HAVEN, FL 33880
(863) 294-1429
Mailing address
150 AVENUE B, SE, WINTER HAVEN, FL 33880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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