Therapy For Developmental Disabilities, Llc

LBN: Therapy For Developmental Disabilities, Llc
Therapy For Developmental Disabilities, Llc is an health care organization with primary practice located at 4542 E Inverness Ave Suite 210, Mesa AZ 85206-4619. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is the primary health care specialty. Therapy For Developmental Disabilities, Llc can be contacted via phone (480) 926-6309, or through Mancuso, Kristin via phone (480) 926-6309.

Contact Information

Primary practice address
4542 E Inverness Ave Suite 210 Mesa AZ 85206-4619
Phone: (480) 926-6309
Fax: (480) 926-1365
Website:
Map and Directions
Authorized official contact:
Name: Mancuso, Kristin P.T., D.P.T.
Phone: (480) 926-6309

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1538211420
LBN Legal business name Therapy For Developmental Disabilities, Llc
DBA Doing business as
Authorized official Mancuso, Kristin P.T., D.P.T.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated May 13th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538211420 NPPES
Arizona Other AZ0463100 BLUE CROSS BLUE SHIELD

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