Healthcare Provider Details

I. General information

NPI: 1366698532
Provider Name (Legal Business Name): TLC PEDIATRIC THERAPIES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2008
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4705 S APOPKA VINELAND RD STE 100
ORLANDO FL
32819-3151
US

IV. Provider business mailing address

4705 S APOPKA VINELAND RD STE 100
ORLANDO FL
32819-3151
US

V. Phone/Fax

Practice location:
  • Phone: 407-905-9300
  • Fax: 407-905-9309
Mailing address:
  • Phone: 407-905-9300
  • Fax: 407-905-9309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAUREN B CRAWFORD
Title or Position: OWNER & INTERIM CEO
Credential:
Phone: 203-604-3930