Organization
IMPACT FOR DEVELOPMENTAL EDUCATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXINE GIBBS (EXECUTIVE DIRECTOR)
(239) 334-6160
Entity
Organization
Contact information
Practice address
1650 MEDICAL LN STE 4821, FORT MYERS, FL 33907-1116
(239) 334-6160
Mailing address
1650 MEDICAL LN STE 4821, FORT MYERS, FL 33907-1116
(239) 334-6160
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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