Individual
AMY JANE O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14324 S ROYAL COVE CIR, DAVIE, FL 33325-6751
(954) 470-5612
Mailing address
14324 S ROYAL COVE CIR, DAVIE, FL 33325-6751
(954) 470-5612
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA14361
FL
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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