Therapy For Developmental Disabilities, Llc in Mesa - Pediatrics
Therapy For Developmental Disabilities, Llc - NPI 1538211420
Therapy For Developmental Disabilities, Llc is a Pediatrics in Mesa, Arizona. Therapy For Developmental Disabilities, Llc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Therapy For Developmental Disabilities, Llc is 1538211420. The last update date is 2011-05-13.
Therapy For Developmental Disabilities, Llc's current location address is 4542 E Inverness Ave, Mesa, Arizona. You can contact this provider via phone number 4809266309 and fax number 4809261365. The mailing address for Therapy For Developmental Disabilities, Llc is 4542 E Inverness Ave, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Therapy For Developmental Disabilities, Llc |
|---|---|
| Address | 4542 E Inverness Ave, Mesa, Arizona |
| Phone Number | 4809266309 |
| Fax Number | 4809261365 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Mancuso Kristin |
| Credentials | P.T., D.P. |
| Telephone Number | 4809266309 |
NPI Number Detail
| NPI Number | 1538211420 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2011-05-13 |
Provider Mailing Address Detail
| Address | 4542 E Inverness Ave |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852064619 |
| Phone Number | 4809266309 |
| Fax Number | 4809261365 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AZ0463100 | AZ | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Therapy For Developmental Disabilities, Llc by the Centers for Medicare & Medicaid Services?
The Therapy For Developmental Disabilities, Llc has been assigned the NPI (National Provider Identifier) 1538211420. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Therapy For Developmental Disabilities, Llc is physically located?
The Therapy For Developmental Disabilities, Llc is physically situated at the following address: 4542 E Inverness Ave, Mesa, AZ, 852064619.
What is Therapy For Developmental Disabilities, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Therapy For Developmental Disabilities, Llc is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 2251P0200X.
On what date did Therapy For Developmental Disabilities, Llc receive its 1538211420 assignment from the Centers for Medicare & Medicaid Services?
The Therapy For Developmental Disabilities, Llc was assigned its 1538211420 on 2007-01-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Therapy For Developmental Disabilities, Llc last refreshed?
The information related to the Therapy For Developmental Disabilities, Llc, including its address, specialty, and other relevant details, was last updated on 2011-05-13.