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Organization
TEAM THERAPY, LLC
Active
Organization
TEAM THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI MARTIN M.S.CCC-SLP (OWNER MANAGER MEMBER)
(850) 865-3981
Entity
Organization
Contact information
Practice address
9523 PARKER PLACE DR, NAVARRE, FL 32566-2874
(850) 865-3981
(866) 675-6298
Mailing address
9523 PARKER PLACE DR, NAVARRE, FL 32566-2874
(850) 865-3981
(866) 675-6298
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
174400000X
Specialist
—
—
224Z00000X
Occupational Therapy Assistant
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000961700
—
FL
05
—
001012700
—
FL
Enumeration date
04/06/2009
Last updated
11/12/2013
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