Paddock, Theresa Lynn

Paddock, Theresa Lynn is an sole proprietor health care provider with primary practice located at 8254 118Th Ave N Suite 100, Largo FL 33773. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Paddock, Theresa Lynn can be contacted via phone (727) 541-5304.

Contact Information

Primary practice address
8254 118Th Ave N Suite 100 Largo FL 33773
Phone: (727) 541-5304
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 19107 Florida

Profile Details

NPI number 1679037162
LBN Legal business name Paddock, Theresa Lynn
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2019
Last updated Jan 29th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679037162 NPPES
Other 1020264 NATIONAL BOARD CERTIFICATION
Other 2015 NATIONAL BOARD CERTIFICATION
Other 5201004033 NATIONAL BOARD CERTIFICATION

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