Organization
CHILDREN'S THERAPY CENTER & MORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS EDITH LISBETH JACIR M.A, CCC-SLP (DIRECTOR)
(954) 385-8560
Entity
Organization
Contact information
Practice address
2751 EXECUTIVE PARK DR, SUITE 203, WESTON, FL 33331-3660
(954) 385-8560
(954) 385-9505
Mailing address
4474 WESTON RD, MB 214, DAVIE, FL 33331-3195
(954) 385-8560
(954) 385-9505
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT6348
FL
2355S0801X
Speech-Language Assistant
SI1600
FL
2355S0801X
Speech-Language Assistant
SI2159
FL
2355S0801X
Speech-Language Assistant
SI2315
FL
235Z00000X
Speech-Language Pathologist
SA10914
FL
235Z00000X
Speech-Language Pathologist
SA11679
FL
235Z00000X
Speech-Language Pathologist
Primary
SA5276
FL
235Z00000X
Speech-Language Pathologist
SA9928
FL
235Z00000X
Speech-Language Pathologist
SZ6478
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001160101
—
FL
Enumeration date
09/13/2010
Last updated
04/08/2014
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