Individual
DIANE TEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2620 RETREAT VIEW CIR, SANFORD, FL 32771-8801
(386) 785-7925
Mailing address
2620 RETREAT VIEW CIR, SANFORD, FL 32771-8801
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA10838
FL
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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