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Organization
SWFL SPEECH THERAPY, INC.
Active
Organization
SWFL SPEECH THERAPY, INC.
Active
Other names
SWFL Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BEAUGEZ (OWNER)
(239) 400-1705
Entity
Organization
Contact information
Practice address
14260 METROPOLIS AVE STE 103, FORT MYERS, FL 33912-4436
(239) 400-1705
Mailing address
20516 ARDORE LN, ESTERO, FL 33928-6380
(239) 823-0344
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
SA6971
FL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/22/2017
Last updated
06/29/2021
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