Individual provider · Type 1 NPI

Jaison Metrock, ITDS, COTA, SLPA

Developmental Therapist · Pembroke Pines, FL

NPI number 1366675084 Active

Practice location

1674 NW 143rd Way
Pembroke Pines, FL 33028-3009

Call (954) 554-1633 Map

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1366675084

Jaison Metrock, ITDS, COTA, SLPA's National Provider Identifier is 1366675084, issued on Aug 27, 2009. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Pembroke Pines, FL. The record was last updated on Jan 31, 2022.