Organization
J C ACOSTA THERAPY CORP
Active
Organization
J C ACOSTA THERAPY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNY CONSTANZA ACOSTA SI 1333 (SPEECH LANGUAGE PATHOLOGY ASSISTANT)
(954) 907-4077
Entity
Organization
Contact information
Practice address
5851 HOLMBERG RD, APT 1124, PARKLAND, FL 33067-4536
(954) 907-4077
Mailing address
5851 HOLMBERG RD, APT 1124, PARKLAND, FL 33067-4536
(954) 907-4077
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
SI 1333
FL
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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