Individual
MRS. ILIA NICOLE REISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
12545 ORANGE DR, SUITE 502, DAVIE, FL 33330-4306
(954) 474-8048
Mailing address
12545 ORANGE DR, SUITE 502, DAVIE, FL 33330-4306
(954) 474-8048
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA11306
FL
Other
Enumeration date
11/09/2010
Last updated
06/22/2016
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