Organization
ABC LAND THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE MARIE BAERGA MA, CCC-SLP (SPEECH AND LANGUAGE PATHOLOGIST)
(787) 433-2850
Entity
Organization
Contact information
Practice address
1020 E OSCEOLA PKWY, KISSIMMEE, FL 34744-1607
(787) 433-2850
Mailing address
1020 E OSCEOLA PKWY, KISSIMMEE, FL 34744-1607
(787) 433-2850
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000872700
—
FL
Enumeration date
09/10/2010
Last updated
09/10/2010
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