Organization
AVID PEDIATRIC THERAPY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL DIFEBBO M.S. CCC-SLP (CEO/SPEECH LANGUAGE PATHOLOGIST)
(609) 576-9016
Entity
Organization
Contact information
Practice address
2 RUTGERS RD, SOMERS POINT, NJ 08244-1332
(609) 576-9016
Mailing address
2 RUTGERS RD, SOMERS POINT, NJ 08244-1332
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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