Bright Spark Therapy
NPI #1104567494 in Orange Park, Florida
Provider Information
- NPI Number
- 1104567494
- Entity Type
- Organization
- Organization Name
- Bright Spark Therapy
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Apr 2, 2022
- Last Updated
- May 25, 2022
Practice Location
- Address
- 3837 CARDINAL OAKS CIR
- City
- Orange Park
- State
- Florida
- ZIP Code
- 32065-4251
- Phone
- (904) 601-2079
Authorized Official
- Name
- SARA WERNER, SLP
- Title
- SPEECH LANGUAGE PATHOLOGIST
- Phone
- (904) 601-2079
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Pediatrics — Pediatrics |
| Occupational Therapist |
| Speech-Language Pathologist |
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