| Metamorphosis Therapy, Llc | |
|
1450 Daniels Rd Winter Garden FL 34787-4376 | |
| (407) 395-9976 | |
| (407) 992-9368 |
| Full Name | Metamorphosis Therapy, Llc |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 1450 Daniels Rd, Winter Garden, Florida |
| Authorized Official Name and Position | Bridgett Elaine Dimant (SPEECH LANGUAGE PATHOLOGIST) |
| Authorized Official Contact | 4072857907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metamorphosis Therapy, Llc 13750 W Colonial Dr Ste 350-121 Winter Garden FL 34787-4204 Ph: (407) 395-9976 | Metamorphosis Therapy, Llc 1450 Daniels Rd Winter Garden FL 34787-4376 Ph: (407) 395-9976 |
| NPI Number | 1942519103 |
|---|---|
| Provider Enumeration Date | 10/05/2010 |
| Last Update Date | 03/13/2025 |
| Certification Date | 03/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942519103 | NPI | - | NPPES |
| 002986300 | Medicaid | FL |
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