Therapy Source Llc in Jacksonville - Early Intervention Provider Agency
Therapy Source Llc - NPI 1245437359
Therapy Source Llc is a Early Intervention Provider Agency in Jacksonville, Florida. Therapy Source Llc practices all healthcare services and medical treatments related to Early Intervention Provider Agency. The NPI Number for Therapy Source Llc is 1245437359. The last update date is 2007-10-17.
Therapy Source Llc's current location address is 3311 Beach Blvd, Jacksonville, Florida. You can contact this provider via phone number 9043961462 and fax number 9043961199. The mailing address for Therapy Source Llc is 3311 Beach Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Therapy Source Llc |
|---|---|
| Address | 3311 Beach Blvd, Jacksonville, Florida |
| Phone Number | 9043961462 |
| Fax Number | 9043961199 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Peters C Holly |
| Telephone Number | 9043961462 |
NPI Number Detail
| NPI Number | 1245437359 |
|---|---|
| Provider Enumeration Date | 2007-07-02 |
| Last Updated Date | 2007-10-17 |
Provider Mailing Address Detail
| Address | 3311 Beach Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322073704 |
| Phone Number | 9043961462 |
| Fax Number | 9043961199 |
Provider's Primary Taxonomy Detail
| Speciality | Early Intervention Provider Agency |
|---|---|
| Taxonomy | 252Y00000X |
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Definition: Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Ac |
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What is the unique 10-digit identifier code assigned to Therapy Source Llc by the Centers for Medicare & Medicaid Services?
The Therapy Source Llc has been issued the NPI (National Provider Identifier) 1245437359 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Therapy Source Llc's facilities are geographically located?
The facilities of Therapy Source Llc are physically situated at the following location: 3311 Beach Blvd, Jacksonville, FL, 322073704.
What is Therapy Source Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Therapy Source Llc is Early Intervention Provider Agency, and the taxonomy classification code that categorizes this area of expertise is 252Y00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1245437359 to Therapy Source Llc?
The Centers for Medicare & Medicaid Services originally issued the 1245437359 to Therapy Source Llc on 2007-07-02.
As of what date were the Therapy Source Llc's details last updated?
The information pertaining to the Therapy Source Llc, including its address, specialty, and other details, was most recently updated on 2007-10-17.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA