Organization
COASTAL THERAPY & LEARNING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY T. LOTOWYCZ SPEECH PATHOLOGIST (OWNER/DIRECTOR)
(904) 372-4070
Entity
Organization
Contact information
Practice address
2730 ISABELLA BLVD, SUITE 10, JACKSONVILLE BEACH, FL 32250-8001
(904) 372-4070
(904) 372-4075
Mailing address
2730 ISABELLA BLVD, SUITE 10, JACKSONVILLE BEACH, FL 32250-8001
(904) 372-4070
(904) 372-4075
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA2176
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
888900700
—
FL
Enumeration date
10/10/2006
Last updated
07/27/2009
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