Organization
PEDIATRIC THERAPY EXPERTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI K MITNIK MA, CCC-SLP (PRESIDENT/OWNER)
(407) 451-9871
Entity
Organization
Contact information
Practice address
2509 NELA AVE, BELLE ISLE, FL 32809-6170
(407) 451-9871
(407) 704-3955
Mailing address
2509 NELA AVE, BELLE ISLE, FL 32809-6170
(407) 451-9871
(407) 704-3955
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
SA5261
FL
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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