Organization
SPEECH REHABILITATION SERVICES-DEMENTIA & DYSPHAGIA SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANDRIA CALLINS PH.D., CCC-SLP (OWNER)
(813) 431-7064
Entity
Organization
Contact information
Practice address
1528 AVONDALE RIDGE DR, PLANT CITY, FL 33567-3682
(813) 431-7064
Mailing address
1528 AVONDALE RIDGE DR, PLANT CITY, FL 33567-3682
(813) 431-7064
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
SA7606
FL
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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