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Organization

GROWING MINDS THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRITTNEY BRUNER (M.S., CCC-SLP)
(352) 615-1705
Entity
Organization

Contact information

Practice address
8397 E HIGHWAY 25, BELLEVIEW, FL 34420-4753
(352) 615-1705
Mailing address
8397 E HIGHWAY 25, BELLEVIEW, FL 34420-4753
(352) 615-1705

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
Primary
261Q00000X
Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
14088457
FL
Enumeration date
07/02/2024
Last updated
07/02/2024
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