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Organization
INTEGRATIVE THERAPY SERVICES INCORPORATED
Active
Organization
INTEGRATIVE THERAPY SERVICES INCORPORATED
Active
Other names
Koala Kids Pediatric Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN THOMAS BIENKOWSKI MS-CCC-SLP (OWNER-DIRECTOR)
(727) 526-5432
Entity
Organization
Contact information
Practice address
3901 16TH ST N, SAINT PETERSBURG, FL 33703-5603
(727) 526-5432
(727) 526-5432
Mailing address
3901 16TH ST N, SAINT PETERSBURG, FL 33703-5603
(727) 526-5432
(727) 526-5432
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889947900
—
FL
Enumeration date
05/09/2007
Last updated
04/07/2011
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