Organization
RISING UP THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDA FORD (PRESIDENT)
(407) 415-0195
Entity
Organization
Contact information
Practice address
1118 ARBOR GLEN CIR, WINTER SPRINGS, FL 32708-3700
(407) 415-0195
Mailing address
1118 ARBOR GLEN CIR, WINTER SPRINGS, FL 32708
(407) 415-0195
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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