Individual
MRS. ELENA POVLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-SLP
Contact information
Practice address
9508 GRIFFIN RD, COOPER CITY, FL 33328-3416
(954) 689-0730
(888) 725-9013
Mailing address
9508 GRIFFIN RD, COOPER CITY, FL 33328-3416
(954) 689-0730
(888) 725-9013
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ8350
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SZ8350
STATE LICENSE
FL
Enumeration date
11/29/2017
Last updated
11/29/2017
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