Teresa N Leibforth in Crystal River - Developmental Therapist
Teresa N Leibforth - NPI 1306868765
Teresa N Leibforth is a Developmental Therapist in Crystal River, Florida. Teresa N Leibforth practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Teresa N Leibforth is 1306868765. The last update date is 2008-06-11.
Teresa N Leibforth's current location address is 335 Ne 10th Ave, Crystal River, Florida. You can contact this provider via phone number 3527955552 and fax number 3527957751. The mailing address for Teresa N Leibforth is 335 Ne 10th Ave, Crystal River, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teresa N Leibforth |
|---|---|
| Address | 335 Ne 10th Ave, Crystal River, Florida |
| Phone Number | 3527955552 |
| Fax Number | 3527957751 |
| Sole Proprietor | Y |
| Credentials | OTR/L |
NPI Number Detail
| NPI Number | 1306868765 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2008-06-11 |
Provider Mailing Address Detail
| Address | 335 Ne 10th Ave |
|---|---|
| City | Crystal River |
| State | Florida (FL) |
| Post Code | 344294456 |
| Phone Number | 3527955552 |
| Fax Number | 3527957751 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
| Licence No | OT8392 |
|
Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z073P | FL | BLUE CROSS BLUE SHIELD | |
| 890815000 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Teresa N Leibforth by the Centers for Medicare & Medicaid Services?
The Teresa N Leibforth has been assigned the NPI (National Provider Identifier) 1306868765 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Teresa N Leibforth?
The Teresa N Leibforth is situated at 335 Ne 10Th Ave, in the city of Crystal River, state of FL, with the zip code 344294456.
What is Teresa N Leibforth's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Teresa N Leibforth's specialized field of practice is Developmental Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 222Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306868765 to Teresa N Leibforth?
The Teresa N Leibforth received its 1306868765 assignment from the Centers for Medicare & Medicaid Services on 2006-07-24.
As of what date were the details pertaining to Teresa N Leibforth last refreshed?
The information related to the Teresa N Leibforth, including its address, specialty, and other relevant details, was last updated on 2008-06-11.