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Organization
METAMORPHOSIS THERAPY, LLC
Active
Organization
METAMORPHOSIS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRIDGETT ELAINE DIMANT MS, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(407) 285-7907
Entity
Organization
Contact information
Practice address
1450 DANIELS RD, WINTER GARDEN, FL 34787-4376
(407) 395-9976
(407) 992-9368
Mailing address
13750 W COLONIAL DR STE 350-121, WINTER GARDEN, FL 34787-4204
(407) 395-9976
(407) 992-9368
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
017434700
FL
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
SA 9096
FL
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002986300
—
FL
Enumeration date
10/05/2010
Last updated
03/13/2025
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