Organization
AXOLOTL SPEECH THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIZIANA PEREIRA M.S.,CCC-SLP (PRESIDENT)
(954) 663-4530
Entity
Organization
Contact information
Practice address
4703 GRAPEVINE WAY, DAVIE, FL 33331-3359
(954) 663-4530
Mailing address
4703 GRAPEVINE WAY, DAVIE, FL 33331-3359
(954) 663-4530
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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