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Contact Information

501 C OUTSOURCE CORPORATION
15397 MOONRAKER CT APT 603
NORTH FORT MYERS, FL33917-3100
 Phone: 239-543-5856
 Fax: 239-543-5856
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for 501 C OUTSOURCE CORPORATION · (Female)

NPI Number 1295002822
Status Active
Credentials
Entity Individual
Enumeration date 11/28/2011
Last updated 11/28/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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