| Sundance Therapy Inc | |
|
147 Tower St, Lake Placid, FL 33852-6836 | |
| (863) 465-9992 | |
| (863) 465-9906 |
| Full Name | Sundance Therapy Inc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 147 Tower St, Lake Placid, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831474923 | NPI | - | NPPES |
| 812362400 | Medicaid | FL | |
| 889870700 | Medicaid | FL | |
| LBE19 | Other | FL | FL BLUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sundance Therapy Inc 116 Chieftain St Nw, Lake Placid, FL 33852-8858 Ph: (863) 414-0211 | Sundance Therapy Inc 147 Tower St, Lake Placid, FL 33852-6836 Ph: (863) 465-9992 |
Aleksandra Lutovsky, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1303 Lake Clay Dr, Lake Placid, FL 33852 Phone: 423-999-1144 | |
Ms. Sharon Brady, CCC-SLP/L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 205 Beauregard St, Lake Placid, FL 33852 Phone: 352-942-9827 | |
Tara Kathryn Lundmark, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 125 Tomoka Blvd S, Lake Placid, FL 33852 Phone: 218-831-7232 | |
Tina Marie Othman, MA,CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1297 Us 27 N, Lake Placid, FL 33852 Phone: 914-701-6775 | |
Mrs. Meredith Jeannette Ritacco, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 116 Chieftain St Nw, Lake Placid, FL 33852 Phone: 863-414-0211 Fax: 863-465-2152 | |
Myleishka Marie Santos Echevarria, SLP-CF Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 125 Tomoka Blvd S, Lake Placid, FL 33852 Phone: 863-465-7200 |