Organization
INSPIRE PEDIATRIC THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KERTON-LOCASCIO OTR/L (OWNER)
(407) 437-2968
Entity
Organization
Contact information
Practice address
917 N PENNSYLVANIA AVE, WINTER PARK, FL 32789-2456
(407) 437-2968
(321) 972-3792
Mailing address
2645 TIERRA CIR, WINTER PARK, FL 32792-2208
(407) 437-2968
(321) 972-3792
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT6909
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
884104700
—
FL
Enumeration date
09/02/2015
Last updated
09/02/2015
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