501 C Outsource Corporation
NPI #1295002822 in North Fort Myers, Florida
Provider Information
- NPI Number
- 1295002822
- Entity Type
- Organization
- Organization Name
- 501 C Outsource Corporation
- Primary Specialty
- Developmental Therapist
- Enumeration Date
- Nov 28, 2011
- Last Updated
- Nov 28, 2011
Practice Location
- Address
- 15397 MOONRAKER CT APT 603
- City
- North Fort Myers
- State
- Florida
- ZIP Code
- 33917-3100
- Phone
- (239) 543-5856
Authorized Official
- Name
- JOAN E FOSS, ITDS
- Title
- PRESIDENT
- Phone
- (239) 543-5856
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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