Healthcare Provider Details

I. General information

NPI: 1326951815
Provider Name (Legal Business Name): TWIN BEARS THERAPY & PLAY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 ENGELBERG ST
WINTER HAVEN FL
33881-9443
US

IV. Provider business mailing address

1421 ENGELBERG ST
WINTER HAVEN FL
33881-9443
US

V. Phone/Fax

Practice location:
  • Phone: 863-674-3004
  • Fax:
Mailing address:
  • Phone: 863-674-3004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: SHARON KATHLEM REDONDO POLO
Title or Position: CLINICAL DIRECTOR
Credential:
Phone: 585-623-0766