Organization
ESCAROSA SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA TECH (OWNER)
(850) 712-0570
Entity
Organization
Contact information
Practice address
10130 SUGAR CREEK CIR, PENSACOLA, FL 32514-1688
(850) 797-7106
Mailing address
10130 SUGAR CREEK CIR, PENSACOLA, FL 32514-1688
(850) 797-7106
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA11900
FL
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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