Organization
APPPLE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAINA MARIE PROCTOR (PROVISIOSPEECH LANGUAGE PATHOLOGIST)
(786) 246-2046
Entity
Organization
Contact information
Practice address
2244 BOGGY CREEK RD, KISSIMMEE, FL 34744-6111
(407) 574-5109
Mailing address
960 RIVECON AVE, ORLANDO, FL 32825
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
SZ 5252
FL
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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