Organization
TREEHOUSE THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEHRA MCCLELLAN (OWNER)
(850) 226-7411
Entity
Organization
Contact information
Practice address
24 HOLLYWOOD BLVD SW STE 7, FORT WALTON BEACH, FL 32548-4893
(850) 226-7411
(850) 226-7496
Mailing address
24 HOLLYWOOD BLVD SW STE 7, FORT WALTON BEACH, FL 32548-4893
(850) 226-7411
(850) 226-7496
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008899400
—
FL
Enumeration date
08/20/2021
Last updated
08/20/2021
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