Organization
CHRYSALIS CENTER FOR AUTISM CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGETT DIMANT (DIRECTOR)
(407) 285-7907
Entity
Organization
Contact information
Practice address
13750 W COLONIAL DR STE 350-121, WINTER GARDEN, FL 34787-4204
(407) 285-7907
Mailing address
13750 W COLONIAL DR STE 350-121, WINTER GARDEN, FL 34787-4204
(407) 285-7907
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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