Therapy Source Llc

LBN: Therapy Source Llc
Therapy Source Llc is an health care organization with primary practice located at 3311 Beach Blvd , Jacksonville FL 32207-3704. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Early Intervention Provider Agency. Agencies / Early Intervention Provider Agency is the primary health care specialty. Therapy Source Llc can be contacted via phone (904) 396-1462, or through Peters, Holly C via phone (904) 396-1462.

Contact Information

Primary practice address
3311 Beach Blvd Jacksonville FL 32207-3704
Phone: (904) 396-1462
Fax: (904) 396-1199
Website:
Map and Directions
Authorized official contact:
Name: Peters, Holly C
Phone: (904) 396-1462

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1245437359
LBN Legal business name Therapy Source Llc
DBA Doing business as
Authorized official Peters, Holly C
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 2nd, 2007
Last updated Oct 17th, 2007 - about 17 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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