Organization
GULF COAST THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACLYN DEA HARTLEY M.S., CCC/SLP (SPEECH LANGUAGE PATHOLOGIST, OWNER)
(304) 288-6115
Entity
Organization
Contact information
Practice address
2471 KING ARTHURS CT, FORT MYERS, FL 33912-1640
(304) 288-6115
Mailing address
2471 KING ARTHURS CT, FORT MYERS, FL 33912-1640
(304) 288-6115
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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