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NPI Code Detail

MEDICARE: ACG THERAPY CENTER, INC

MEDICARE: ACG THERAPY CENTER, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2235Z00000XSpeech-Language Pathologist
3103K00000XBehavior Analyst

Other Identifiers

General Provider Information

NPI Number : 1588651921
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACG THERAPY CENTER, INC
Provider Business Mailing Address
First Line : 4907 NW 43RD STREET
Second Line : SUITE C
City : GAINESVILLE
State : FL
Zip : 32606-2007
Country : US
Telephone Number : 352-372-0047
Fax Number : 352-372-4701
Provider Business Practice Location Address
First Line : 4907 NW 43RD STREET
Second Line : SUITE C
City : GAINESVILLE
State : FL
Zip : 32606-2007
Country : US
Telephone Number : 352-372-0047
Fax Number : 352-372-4701
Authorized Official
Title or Position : OWNER
Name : PHILLIP WEIL
Credential :
Telephone Number : 352-372-0047
Provider Enumeration Date : 09/30/2005
Last Update Date : 01/31/2024

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Directions to “ACG THERAPY CENTER, INC ” Practice Location

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