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Contact Information

AKL ACTIVE INC
1712 N RONALD REAGAN BLVD
LONGWOOD, FL32750-3409
 Phone: 407-272-8813
 Fax: 866-802-2363
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
 

Clinic/Center

261Q00000X
 

Pediatrics

2251P0200X 65 Physical Therapist in Private Practice
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for AKL ACTIVE INC · (Female)

NPI Number 1902394612
Status Active
Credentials
Entity Individual
Enumeration date 04/27/2018
Last updated 09/12/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # OT14170
  • FL Medicaid 009550500
  • FL Medicaid 024986300
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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