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Organization

HT 2.0 PEDIATRIC THERAPY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICKOLAS HETHERINGTON MOT, OTR/L (MANAGER)
(989) 450-6441
Entity
Organization

Contact information

Practice address
3270 SUNTREE BLVD STE 1117E, MELBOURNE, FL 32940-7556
(989) 450-6441
Mailing address
1343 GLENEAGLES WAY, ROCKLEDGE, FL 32955-2522
(989) 450-6441

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
01/07/2025
Last updated
01/07/2025
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