| NPI | 1497550602 |
|---|---|
| Former Legal Business Name | THERA-CARE PEDIATRIC CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | MIRIAM MEDINA Clinical Director 407-729-8498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-02-13 |