Organization
NEW HORIZON PEDIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA EWING (PRESIDENT)
(727) 744-3629
Entity
Organization
Contact information
Practice address
4707 140TH AVE N, SUITE 313, CLEARWATER, FL 33762-3834
(727) 768-3877
Mailing address
4707 140TH AVE N, SUITE 313, CLEARWATER, FL 33762-3834
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT9908
FL
2251P0200X
Pediatric Physical Therapist
PT12196
FL
225X00000X
Occupational Therapist
OT10642
FL
251E00000X
Home Health Agency
—
—
261Q00000X
Clinic/Center
Primary
PT9908
FL
Other
Enumeration date
10/19/2016
Last updated
02/19/2019
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