Provider Demographics
NPI:1275844243
Name:INTEGRATED CHILDREN'S THERAPIES
Entity Type:Organization
Organization Name:INTEGRATED CHILDREN'S THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A BROWN
Authorized Official - Last Name:DALBEC
Authorized Official - Suffix:
Authorized Official - Credentials:OT/L
Authorized Official - Phone:508-485-5650
Mailing Address - Street 1:72 JEFFERSON ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-1259
Mailing Address - Country:US
Mailing Address - Phone:508-485-5650
Mailing Address - Fax:508-485-5423
Practice Address - Street 1:72 JEFFERSON ST
Practice Address - Street 2:SUITE 202
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-1259
Practice Address - Country:US
Practice Address - Phone:508-485-5650
Practice Address - Fax:508-485-5423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA110542251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty