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Organization
SUNDANCE THERAPY INC
Active
Organization
SUNDANCE THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MEREDITH J RITACCO M.S., CCC-SLP (CEO)
(863) 414-0211
Entity
Organization
Contact information
Practice address
147 TOWER ST, LAKE PLACID, FL 33852-6836
(863) 465-9992
(863) 465-9906
Mailing address
116 CHIEFTAIN ST NW, LAKE PLACID, FL 33852-8858
(863) 414-0211
(863) 465-2152
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
812362400
—
FL
05
—
889870700
—
FL
01
—
LBE19
FL BLUE
FL
Enumeration date
10/20/2011
Last updated
03/29/2016
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