Organization
CORNERSTONE THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA P PONTONES SPEECH PATHOLOGIST (DIRECTOR)
(321) 432-2572
Entity
Organization
Contact information
Practice address
1101 W HIBISCUS BLVD STE 210, MELBOURNE, FL 32901-2719
(321) 432-2572
Mailing address
1101 W HIBISCUS BLVD STE 210, MELBOURNE, FL 32901-2719
(321) 432-2572
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
881974200
—
FL
Enumeration date
08/31/2006
Last updated
02/21/2012
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