Organization
LIFESPAN THERAPY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY DIAZ (CEO)
(407) 281-3803
Entity
Organization
Contact information
Practice address
12001 AVALON LAKE DR STE I, ORLANDO, FL 32828-7399
(407) 281-3803
Mailing address
12001 AVALON LAKE DR STE I, ORLANDO, FL 32828-7399
(407) 281-3803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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