Organization
EDGE THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN PENDERGAST CCC-SLP (OWNER/SLP)
(401) 793-0195
Entity
Organization
Contact information
Practice address
11015 PASSAGE DR, BRADENTON, FL 34211-2107
(401) 793-0195
Mailing address
11520 ECHO LAKE CIR UNIT 308, BRADENTON, FL 34211-2510
(401) 793-0195
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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