Children's Therapy Network, INC

NPI #1457384505 in Edgewater, Florida

Provider Information

NPI Number: 1457384505
Entity Type: Organization
Organization Name: Children's Therapy Network, INC
Subpart: Yes (part of a larger organization)
Parent Organization: CHILDRENS THERAPY NETWORK, INC
Primary Specialty: Occupational Therapist
Enumeration Date: Jul 9, 2006
Last Updated: Sep 4, 2012

Practice Location

Address: 1604 S RIDGEWOOD AVE
City: Edgewater
State: Florida
ZIP Code: 32132-3612
Phone: (386) 428-4805

Authorized Official

Name: GINA JOHNSON
Title: PRESIDENT
Phone: (386) 428-4805

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapy Assistant	224Z00000X
Physical Therapist - Pediatrics — Pediatrics	2251P0200X
Physical Therapy Assistant	225200000X
Speech-Language Pathologist	235Z00000X
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X
Physical Therapist	225100000X
Occupational Therapist	225X00000X	Primary

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