Individual
FELICIA TILACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 OVERLOOK DRIVE, WINTER HAVEN, FL 33884
(863) 268-2608
Mailing address
128 VISTA VIEW AVE, EAGLE LAKE, FL 33839-3262
(407) 232-0189
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
FL
2355S0801X
Speech-Language Assistant
Primary
—
FL
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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