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Organization

COBALT THERAPY, LLC

Active
Other names
Cobalt Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANN-MARIE A DYKSTRA MA, CCC-SLP (OWNER/THERAPIST)
(352) 508-7789
Entity
Organization

Contact information

Practice address
510 CO RD 466, SUITE 204-E AND 203-L, LADY LAKE, FL 32159-4202
(352) 508-7789
(352) 855-0459
Mailing address
1303 LIMIT AVE STE 201, MOUNT DORA, FL 32757-3135
(352) 818-7368
(352) 855-0459

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
03/11/2020
Last updated
06/03/2025
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