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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