Organization
TLC THERAPY, LLC
Active
Other names
TLC Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR J DAVIDSON (CEO)
(404) 974-9919
Entity
Organization
Contact information
Practice address
4705 S APOPKA VINELAND RD STE 100, ORLANDO, FL 32819-3151
(404) 974-9919
Mailing address
15245 SHADY GROVE RD STE 110, ROCKVILLE, MD 20850-7202
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
273Y00000X
Rehabilitation Hospital Unit
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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