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MICHELE AXFORD

>> Developmental Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1992256036

Individual Registrant:
 MICHELE  AXFORD 
Gender: F
Sole Proprietor

Location and contact information for practice:
5106 104TH ST N  SAINT PETERSBURG, FL 33708-3338 US
Tel: 813-785-3099  Fax: --

Contact information for business:
5106 104TH ST N  SAINT PETERSBURG, FL 33708-3338 US
Tel: --  Fax: --

Registration Information:
NPI: 1992256036
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Developmental Therapist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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