| Jennifer E Colombo, CCC SLP | |
|
6977 Professional Pkwy E, Lakewood Ranch, FL 34240 | |
| (941) 758-3140 | |
| (941) 870-4891 |
| Full Name | Jennifer E Colombo |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 6977 Professional Pkwy E, Lakewood Ranch, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053512079 | NPI | - | NPPES |
| 888680600 | Other | FL | MEDICAID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SA5010 (Florida) | Primary |
| Provider Name | Therapeutic Potentials, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1013135169 PECOS PAC ID: 5597660365 Enrollment ID: O20171027000252 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer E Colombo, CCC SLP 6977 Professional Pkwy E, Lakewood Ranch, FL 34240-8411 Ph: (941) 758-3140 | Jennifer E Colombo, CCC SLP 6977 Professional Pkwy E, Lakewood Ranch, FL 34240 Ph: (941) 758-3140 |
Therapeutic Potentials, Inc Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6977 Professional Pkwy E, Lakewood Ranch, FL 34240 Phone: 941-758-3140 Fax: 941-870-4891 | |
Mrs. Geraldine Brooks Drexler, M.A., CCC-SP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6823 Dominion Ln, Lakewood Ranch, FL 34202 Phone: 941-538-3571 Fax: 317-522-0010 | |
Katherine Doerner, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6977 Professional Pkwy E, Therapeutic Potentials, Inc., Lakewood Ranch, FL 34240 Phone: 941-758-3140 Fax: 941-870-4891 | |
Montserrat Florensa, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6415 Moorings Point Cir, Unit 101, Lakewood Ranch, FL 34202 Phone: 941-388-9321 | |
Kristen Crawford, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6977 Professional Pkwy E, Lakewood Ranch, FL 34240 Phone: 941-758-3140 Fax: 941-870-4891 | |
Kelsey Benham, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6977 Professional Pkwy E, Lakewood Ranch, FL 34240 Phone: 941-758-3140 Fax: 941-870-4891 |