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MICHELE AXFORD
>> Developmental Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1992256036
Individual Registrant: MICHELE AXFORD
Gender: F
Sole Proprietor
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: --
Tel: 813-785-3099 Fax: --
Contact information for business:
5106 104TH ST N SAINT PETERSBURG, FL 33708-3338 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1992256036
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 222Q00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Developmental Therapist |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
