Organization
ENLIGHTENED THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY THOMAS (OWNER)
(904) 571-5230
Entity
Organization
Contact information
Practice address
14454 BASILHAM LN, JACKSONVILLE, FL 32258-4423
(904) 571-5230
(904) 571-5230
Mailing address
14454 BASILHAM LN, JACKSONVILLE, FL 32258-4423
(904) 571-5230
(904) 571-5230
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6674
FL
Other
Enumeration date
09/28/2013
Last updated
09/28/2013
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