Organization
ISENBERG PEDIATRIC OCCUP THERAPY INC
Active
Other names
United Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLEY ISENBERG HICKMAN OTRL (OWNER)
(850) 258-6366
Entity
Organization
Contact information
Practice address
2685 JENKS AVE, PANAMA CITY, FL 32405-4351
(850) 215-6788
(850) 215-6787
Mailing address
PO BOX 568, LYNN HAVEN, FL 32444
(850) 258-6366
(850) 522-8022
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2238
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886362800
—
FL
Enumeration date
12/05/2006
Last updated
04/05/2016
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