Walsh, Theresa M

Walsh, Theresa M is an sole proprietor health care provider with primary practice located at 2959 W Midway Rd , Fort Pierce FL 34981-4956. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Walsh, Theresa M can be contacted via phone (772) 462-6601.

Contact Information

Primary practice address
2959 W Midway Rd Fort Pierce FL 34981-4956
Phone: (772) 462-6601
Fax: (772) 462-6634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT13782 Florida

Profile Details

NPI number 1740502723
LBN Legal business name Walsh, Theresa M
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2010
Last updated Feb 18th, 2010 - about 16 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 1740502723 NPPES
Florida Other OT13782 FLORIDA DEPARTMENT OF HEALTH

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