Ancient City Children's Therapy, LLC

NPI #1619267671 in St Augustine, Florida

Provider Information

NPI Number: 1619267671
Entity Type: Organization
Organization Name: Ancient City Children's Therapy, LLC
Primary Specialty: Specialist
Enumeration Date: Apr 12, 2011
Last Updated: Apr 12, 2011

Practice Location

Address: 367 GIANNA WAY
City: St Augustine
State: Florida
ZIP Code: 32086-3858
Phone: (904) 826-7886

Authorized Official

Name: JOHANNIE GARCIA, OTD
Title: OWNER
Phone: (904) 826-7886

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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