Organization
THE TINY TIM CENTER, INC.
Active
Other names
TLC Learning Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT ELDRED (EXECUTIVE DIRECTOR)
(303) 776-7417
Entity
Organization
Contact information
Practice address
611 KORTE WAY, LONGMONT, CO 80501-6366
(303) 776-7417
(303) 776-7471
Mailing address
611 KORTE WAY, LONGMONT, CO 80501-6366
(303) 776-7417
(303) 776-7471
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13134086
—
CO
Enumeration date
01/04/2007
Last updated
10/13/2015
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