Organization
THERAPEUTIC POTENTIALS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVON RICE (BILLING MANAGER)
(941) 702-9973
Entity
Organization
Contact information
Practice address
6977 PROFESSIONAL PKWY E, LAKEWOOD RANCH, FL 34240-8411
(941) 758-3140
(941) 870-4891
Mailing address
6977 PROFESSIONAL PKWY E, LAKEWOOD RANCH, FL 34240-8411
(941) 758-3140
(941) 870-4891
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
SA5010
FL
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
888464100
—
FL
05
—
888464101
—
FL
05
—
888464102
—
FL
Enumeration date
04/23/2007
Last updated
07/17/2024
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