Organization Name: | PEDIATRIC THERAPY SERVICES OF GREATER ORLANDO, LLC |
NPI Number: | 1013926187 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANICE LOIUSE WOOTEN (OWNER) |
Mailing Address: | 886 S Dillard St Winter Garden |
State: | FL US |
Postal Code: | 347873910 |
Phone Number: | 4079058908 |
Fax Number: | 4079058958 |
NPI Enumeration Date: | 08/06/2006 |
NPI Last Update Date: | 02/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA7850 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |