Organization
BRIGHTSIDE THERAPY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISABELLA MARTINEZ (SPEECH LANGUAGE PATHOLOGIST)
(321) 337-6243
Entity
Organization
Contact information
Practice address
7512 CYPRESS GARDENS BLVD, WINTER HAVEN, FL 33884-3200
(321) 337-6243
(352) 717-6829
Mailing address
7512 CYPRESS GARDENS BLVD, WINTER HAVEN, FL 33884-3200
(352) 717-6829
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/14/2021
Last updated
12/07/2023
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