Organization
FAMILY FIRST THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALEISHA WILBER VANAMBURG MS CCC-SLP (CEO)
(813) 389-5301
Entity
Organization
Contact information
Practice address
207 CRYSTAL GROVE BLVD, LUTZ, FL 33548-6409
(813) 848-0341
(813) 540-8271
Mailing address
207 CRYSTAL GROVE BLVD, LUTZ, FL 33548-6409
(813) 848-0341
(813) 540-8271
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 6573
FL
252Y00000X
Early Intervention Provider Agency
SA 6573
FL
261Q00000X
Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
03/17/2015
Last updated
12/12/2024
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