Individual provider · Type 1 NPI
Sophia Bourdeau, LPN
Developmental Disabilities Clinic/Center · Port St. Lucie, FL
Practice location
159 SW South Danville Cir
Port St. Lucie, FL 34953-5929
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Disabilities Clinic/Center Primary | 261QD1600X | None 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 1689104192
Sophia Bourdeau, LPN's National Provider Identifier is 1689104192, issued on Jun 16, 2017. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jul 21, 2022.