Organization
GROWING UP THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA MICHELLE ORTIZ SLP, MS,CCC (PROPIETOR)
(407) 624-2509
Entity
Organization
Contact information
Practice address
206 NOVA DR, DAVENPORT, FL 33837-2639
(407) 624-2509
Mailing address
206 NOVA DR, DAVENPORT, FL 33837-2639
(407) 624-2509
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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