Organization
BEACH BABY PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY TALIAFERRO (OWNER)
(727) 871-2784
Entity
Organization
Contact information
Practice address
5042 42ND ST S, SAINT PETERSBURG, FL 33711-4720
(727) 871-2784
Mailing address
5042 42ND ST S, SAINT PETERSBURG, FL 33711-4720
(727) 871-2784
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
03/19/2025
Last updated
03/20/2025
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