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NPI Code Detail

MEDICARE: COMMUNICATION CORNER THERAPY LLC

MEDICARE: COMMUNICATION CORNER THERAPY LLC
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
1261QH0700XHearing and Speech Clinic/Center

General Provider Information

NPI Number : 1790468098
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNICATION CORNER THERAPY LLC
Provider Business Mailing Address
First Line : 616 CLEARWATER PARK RD APT 1204
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-6250
Country : US
Telephone Number : 850-321-9347
Fax Number :
Provider Business Practice Location Address
First Line : 616 CLEARWATER PARK RD APT 1204
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-6250
Country : US
Telephone Number : 850-321-9347
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JOHANNA EUGENIO
Credential :
Telephone Number : 850-321-9347
Provider Enumeration Date : 08/11/2023
Last Update Date : 02/05/2025

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Directions to “COMMUNICATION CORNER THERAPY LLC ” Practice Location

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