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Tonita Glenn-mutcherson
Developmental Disabilities Clinic/Center in Tampa, Florida
NPI 1265906887

Tonita Glenn-mutcherson is a Developmental Disabilities Clinic/Center based in Tampa, FL and is specialized in Developmental Disabilities. Tonita Glenn-mutcherson practices in Tampa, FL. The NPI Number for Tonita Glenn-mutcherson is 1265906887 and holds a License No. (Florida).

The current practice location address for Tonita Glenn-mutcherson is 4220 E Idlewild Ave, Tampa, FL and can be reached out via phone at 813-504-5031.

Location: 4220 E Idlewild Ave, Tampa, FL, 33610-2529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265906887
Provider Name
Tonita Glenn-mutcherson
Credential
Provider Entity Type
Individual
Gender
Female
Address
4220 E Idlewild Ave, Tampa, FL, 33610-2529
Phone Number
813-504-5031
Fax Number
Provider Enumeration Date
01/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4220 E Idlewild Ave
City
Tampa
State
Florida
Zip
33610-2529
Phone Number
813-504-5031
Fax Number
person
Provider Business Mailing Address Details
Address
4220 E Idlewild Ave
City
Tampa
State
Florida
Zip
33610-2529
Phone Number
813-504-5031
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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