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THERAPY FOR DEVELOPMENTAL DISABILITIES NPI 1639484314


NPI Information

NPI: 1639484314
Provider Name: THERAPY FOR DEVELOPMENTAL DISABILITIES
Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
4542 E INVERNESS AVE
SUITE 210
MESA, AZ
ZIP 85206
Phone: (480) 926-6309
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THERAPY FOR DEVELOPMENTAL DISABILITIES is a pediatrics physical therapist in Mesa, AZ. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. THERAPY FOR DEVELOPMENTAL DISABILITIES NPI is 1639484314. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4542 E INVERNESS AVE
SUITE 210
MESA, AZ
ZIP 85206-619
Phone: (480) 926-6309
Fax: (480) 926-1365

The provider's authorized official is Kristin Mancuso .
The authorized official title is Executive Director and has the following contact phone number (480) 926-6309.

The enumeration date for this NPI number is 8/18/2010 and was last updated on 5/13/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225XP0200XOccupational TherapistPediatricsNo
2235Z00000XSpeech-Language PathologistNo
32251P0200XPhysical TherapistPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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