DYNAMIC SPEECH THERAPY SERVICES
Speech Language Pathology at 105 Ter, Pompano Beach, FL

License number
Florida SA12694
Category
Speech Language Pathology
Type
Speech-Language Pathologist
Owner
Name: MICHELLE HICKMAN
Title: OWNER
Phone: (954) 257-2489
Address
Address
265 NW 105Th Ter, Pompano Beach, FL 33071
National Provider ID: 1821486689
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DYNAMIC SPEECH THERAPY SERVICES, INC

Pompano Beach, FL

Industry:
Specialty Outpatient Clinic
Registration:
Jun 13, 2013
Addresses:
265 N W 105 Ter, Pompano Beach, FL 33071 (Physical)
265 NW 105 Ter, Pompano Beach, FL 33071
State ID:
P13000051487
Business type:
Florida Profit Corporation
President:
Michelle Hickman (President), 265 N W 105 Ter, Pompano Beach, FL 33071 (Physical)
Agent:
Hickman, Michelle,265 N W 105 Ter, Pompano Beach, FL 33071 (Physical)
EIN:
46-2970664

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