Organization · Type 2 NPI

Ancient City Children's Therapy, LLC

Specialist · St. Augustine, FL

NPI number 1619267671 Active

Practice location

367 Gianna Way
St. Augustine, FL 32086-3858

Call (904) 826-7886 Map

Mailing address

109 S. Winterhawk,, Suite 7
St. Augustine, FL 32086

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X12653 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1619267671

Ancient City Children's Therapy, LLC's National Provider Identifier is 1619267671, issued on Apr 12, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Augustine, FL. The record was last updated on Apr 12, 2011.