Organization Name: | TLC REHAB INC |
NPI Number: | 1417924077 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DREAMA M WALDROP (PRESIDENT/OWNER) |
Mailing Address: | 2210 Highway 44 W Inverness |
State: | FL US |
Postal Code: | 344533860 |
Phone Number: | 3528602220 |
Fax Number: | 3528601181 |
NPI Enumeration Date: | 03/02/2006 |
NPI Last Update Date: | 10/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |