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Organization

BUILDING PATHWAYS THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUDLANDE GUERVIL PT, DPT (PHYSICAL THERAPIST)
(863) 651-3684
Entity
Organization

Contact information

Practice address
2124 CHESHIRE BRIDGE RD NE APT 2006, ATLANTA, GA 30324-5731
(863) 651-3684
Mailing address
7200 MYSTIC BROOK WAY, DAVENPORT, FL 33896-6703
(186) 365-1368

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2251P0200X
Pediatric Physical Therapist
225XP0200X
Pediatric Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
09/04/2020
Last updated
09/04/2020
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