Organization
CHILDREN'S THERAPY NETWORK, INC
Active
Parent organization
CHILDRENS THERAPY NETWORK, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDRENS THERAPY NETWORK, INC
Authorized official
GINA JOHNSON (PRESIDENT)
(386) 428-4805
Entity
Organization
Contact information
Practice address
1604 S RIDGEWOOD AVE, EDGEWATER, FL 32132-3612
(386) 428-4805
(866) 457-5239
Mailing address
1604 S RIDGEWOOD AVE, EDGEWATER, FL 32132-3612
(386) 428-4805
(866) 457-5239
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
PT14998
FL
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
OT12846
FL
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890529100
—
FL
Enumeration date
07/09/2006
Last updated
09/04/2012
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