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Organization
SLP THERAPY INC
Active
Organization
SLP THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER LOUISE RANKIN (OWNER)
(772) 528-2654
Entity
Organization
Contact information
Practice address
5807 PALMETTO DR, FORT PIERCE, FL 34982-3220
(772) 528-2654
Mailing address
5807 PALMETTO DR, FORT PIERCE, FL 34982-3220
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA7952
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001095900
—
FL
Enumeration date
03/12/2010
Last updated
03/12/2010
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