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Organization
PEDIATRIC INTERVENTIONS INC.
Active
Organization
PEDIATRIC INTERVENTIONS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISSETTE MARTINEZ (PRESIDENT)
(561) 635-7798
Entity
Organization
Contact information
Practice address
2963 WERWOOD CT, WELLINGTON, FL 33414-7680
(561) 635-7798
Mailing address
2963 WERWOOD CT, WELLINGTON, FL 33414-7680
(561) 635-7798
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1522
FL
2355S0801X
Speech-Language Assistant
SI1114
FL
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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