Metamorphosis Therapy, Llc | |
301 S Tubb St Ste A-1 Oakland FL 34760 | |
(407) 395-9976 | |
(407) 992-9368 |
Full Name | Metamorphosis Therapy, Llc |
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Speciality | Speech-language Pathologist |
Location | 301 S Tubb St Ste A-1, Oakland, Florida |
Authorized Official Name and Position | Bridgett Elaine Dimant (SPEECH LANGUAGE PATHOLOGIST) |
Authorized Official Contact | 4072857907 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Metamorphosis Therapy, Llc 13750 W Colonial Dr Ste 350-121 Winter Garden FL 34787-4204 Ph: (407) 395-9976 | Metamorphosis Therapy, Llc 301 S Tubb St Ste A-1 Oakland FL 34760 Ph: (407) 395-9976 |
NPI Number | 1942519103 |
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Provider Enumeration Date | 10/05/2010 |
Last Update Date | 06/29/2018 |
Identifier | Type | State | Issuer |
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1942519103 | NPI | - | NPPES |
002986300 | Medicaid | FL |
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