Organization
ESCOBAR THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELLY ESCOBAR SLPA, MA (OWNER)
(706) 201-9237
Entity
Organization
Contact information
Practice address
3821 BENERAID ST, LAND O LAKES, FL 34638-7923
(706) 201-9237
Mailing address
3821 BENERAID ST, LAND O LAKES, FL 34638-7923
(706) 201-9237
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
12/11/2024
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