Organization
CHILDREN'S CARE CAMPUS, INC.
Active
Organization
CHILDREN'S CARE CAMPUS, INC.
Active
Other names
CHILDRENFIRST PPEC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA N. HARRIS OTR/L, MOT, M.ED (CLINIC DIRECTOR)
(407) 513-3077
Entity
Organization
Contact information
Practice address
2120 SAXON BLVD STE 201, DELTONA, FL 32725-3279
(407) 513-3000
(407) 515-6537
Mailing address
4448 EDGEWATER DR, ORLANDO, FL 32804-1216
(407) 513-3000
(407) 515-6537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
227900000X
Registered Respiratory Therapist
—
—
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Enumeration date
04/02/2015
Last updated
04/15/2015
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