Individual provider · Type 1 NPI

Elmo A. Altazan Iii

Developmental Therapist · Pompano Beach, FL

NPI number 1770843245 Active

Practice location

2708 NE 14th St Apt 5
Pompano Beach, FL 33062-3564

Mailing address

4867 Birdie Ln
Shreveport, LA 71107-3407

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 1770843245

Elmo A. Altazan Iii's National Provider Identifier is 1770843245, issued on May 18, 2012. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Pompano Beach, FL. The record was last updated on May 18, 2012.