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Asontasia Reynolds
Developmental Disabilities Clinic/Center in Port Richey, Florida
NPI 1427752161

Asontasia Reynolds is a Developmental Disabilities Clinic/Center based in Port Richey, FL and is specialized in Developmental Disabilities. Asontasia Reynolds practices in Port Richey, FL. The NPI Number for Asontasia Reynolds is 1427752161 and holds a License No. (Florida).

The current practice location address for Asontasia Reynolds is 10143 Grove Dr, Port Richey, FL and can be reached out via phone at 727-331-4115.

Location: 10143 Grove Dr, Port Richey, FL, 34668-3404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427752161
Provider Name
Asontasia Reynolds
Credential
Provider Entity Type
Individual
Gender
Female
Address
10143 Grove Dr, Port Richey, FL, 34668-3404
Phone Number
727-331-4115
Fax Number
Provider Enumeration Date
03/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10143 Grove Dr
City
Port Richey
State
Florida
Zip
34668-3404
Phone Number
727-331-4115
Fax Number
person
Provider Business Mailing Address Details
Address
10143 Grove Dr
City
Port Richey
State
Florida
Zip
34668-3404
Phone Number
727-331-4115
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
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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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