41lifechangers LLC

NPI #1780088914 in Ruskin, Florida

Provider Information

NPI Number: 1780088914
Entity Type: Organization
Organization Name: 41lifechangers LLC
Primary Specialty: Developmental Therapist
Enumeration Date: Oct 17, 2014
Last Updated: Oct 17, 2014

Practice Location

Address: 1003 WINDTON OAK DR
City: Ruskin
State: Florida
ZIP Code: 33570-5330
Phone: (941) 807-6374

Authorized Official

Name: MR. RODERICK GREEN
Title: OWNER
Phone: (941) 807-6374

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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