Organization
ASPIRE REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE MELISSA SUMNER DAVIS MA, CCC-SLP (OWNER)
(772) 257-6962
Entity
Organization
Contact information
Practice address
1485 37TH ST STE 111, VERO BEACH, FL 32960-6518
(772) 257-6962
(772) 365-0499
Mailing address
326 15TH AVE, VERO BEACH, FL 32962-2749
(772) 257-6962
(772) 365-0499
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA12097
FL
261QR0400X
Rehabilitation Clinic/Center
SA12097
FL
Other
Enumeration date
03/04/2013
Last updated
09/26/2019
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