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Organization

THERAPEASE LLC

Active
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Organization

THERAPEASE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY HERNDON (MEMBER)
(850) 337-1378
Entity
Organization

Contact information

Practice address
225 MAIN STREET STE7 UNIT I, DESTIN, FL 32541
(850) 337-1378
(888) 852-6279
Mailing address
PO BOX 5553, DESTIN, FL 32540-5553
(850) 337-1378
(888) 852-6279

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
225100000X
Physical Therapist
2251P0200X
Pediatric Physical Therapist
225X00000X
Occupational Therapist
225XP0200X
Pediatric Occupational Therapist
235Z00000X
Speech-Language Pathologist
Primary
FL

Other

Enumeration date
09/01/2009
Last updated
02/09/2022
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