Individual provider · Type 1 NPI

Tonita Glenn-Mutcherson

Developmental Disabilities Clinic/Center · Tampa, FL

NPI number 1265906887 Active

Practice location

4220 E Idlewild Ave
Tampa, FL 33610-2529

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center Primary 261QD1600XNone listed

Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

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About NPI 1265906887

Tonita Glenn-Mutcherson's National Provider Identifier is 1265906887, issued on Jan 16, 2019. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Tampa, FL. The record was last updated on Jan 16, 2019.