Organization
GRACE THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS EMILY ANN SORICELLI SLPA (SPEECH-LANGUAGE PATHOLOGIST ASST)
(772) 812-0491
Entity
Organization
Contact information
Practice address
4715 KIRBY LOOP RD, FORT PIERCE, FL 34981-5345
(772) 461-9954
Mailing address
10470 SW WATERWAY LN, PORT SAINT LUCIE, FL 34987-2494
(772) 812-0491
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI 2529
FL
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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