| NPI | 1104867670 |
|---|---|
| Doing Business As | PEDIATRIC THERAPY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JANET S MOULTON Owner 904-249-8893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA4951) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2022-10-25 |