Whalio Doctors

NPI 1245437359

Therapy Source LLC

Organisation Early Intervention Provider Agency Jacksonville, FL

Practice location

Address
3311 Beach Blvd, Jacksonville, FL 32207-3704
Phone
(904) 396-1462
Fax
(904) 396-1199

Authorised official

Name
Holly C Peters
Title
Ceo
Phone
(904) 396-1462

Registered specialties (4)

Early Intervention Provider Agency Primary
Agencies Taxonomy 252Y00000X
Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X
Occupational Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X
Speech-Language Pathologist
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

Registry record

NPI
1245437359
Entity type
Organization
NPI issued
2 Jul 2007
Record last updated
17 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.