Provider Demographics
NPI:1114366242
Name:CAN DO KIDS THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:CAN DO KIDS THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR/SLP
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:FREEH
Authorized Official - Last Name:THORNBURG
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP, ATP
Authorized Official - Phone:484-891-1226
Mailing Address - Street 1:5010 CURLY HORSE DR
Mailing Address - Street 2:
Mailing Address - City:CENTER VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18034-8778
Mailing Address - Country:US
Mailing Address - Phone:494-891-1226
Mailing Address - Fax:
Practice Address - Street 1:5010 CURLY HORSE DR
Practice Address - Street 2:
Practice Address - City:CENTER VALLEY
Practice Address - State:PA
Practice Address - Zip Code:18034-8778
Practice Address - Country:US
Practice Address - Phone:494-891-1226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-21
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL007164235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty