| Beth Ingram Therapy Services | |
|
2111 W Swann Ave Ste 100 Tampa FL 33606-2478 | |
| (757) 386-3394 | |
| Not Available |
| Full Name | Beth Ingram Therapy Services |
|---|---|
| Speciality | Clinic/center |
| Location | 2111 W Swann Ave Ste 100, Tampa, Florida |
| Authorized Official Name and Position | Michelle Retsky (SPEECH LANGUAGE PATHOLOGIST) |
| Authorized Official Contact | 7573863394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beth Ingram Therapy Services 10598 Orange Blossom Ln Seminole FL 33772-7503 Ph: (757) 386-3394 | Beth Ingram Therapy Services 2111 W Swann Ave Ste 100 Tampa FL 33606-2478 Ph: (757) 386-3394 |
| NPI Number | 1013565779 |
|---|---|
| Provider Enumeration Date | 08/27/2019 |
| Last Update Date | 08/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013565779 | NPI | - | NPPES |
| SZ9227 | Other | FL | PROVISIONAL LICENSE FOR SPEECH LANGUAGE PATHOLOGIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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