Organization
CHILDREN'S THERAPY CENTER & MORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EDITH LISBETH JACIR M.A., CCC-SLP (DIRECTOR)
(954) 644-2645
Entity
Organization
Contact information
Practice address
2645 EXECUTIVE PARK DRIVE, WESTON, FL 33331-3195
(954) 644-2645
Mailing address
4474 WESTON RD, MB 214, DAVIE, FL 33331-3195
(954) 644-2645
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT6348
FL
2355S0801X
Speech-Language Assistant
SI1600
FL
2355S0801X
Speech-Language Assistant
SI2159
FL
2355S0801X
Speech-Language Assistant
SI2315
FL
235Z00000X
Speech-Language Pathologist
SA10914
FL
235Z00000X
Speech-Language Pathologist
SA11679
FL
235Z00000X
Speech-Language Pathologist
Primary
SA5276
FL
235Z00000X
Speech-Language Pathologist
SA9928
FL
235Z00000X
Speech-Language Pathologist
SZ6478
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001160100
—
FL
05
—
003363500
—
FL
05
—
004196000
—
FL
01
—
1669514246
INDIVIDUAL NPI
FL
05
—
885044500
—
FL
05
—
887169807
—
FL
05
—
889375600
—
FL
Enumeration date
04/21/2009
Last updated
09/18/2024
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