Provider Demographics
NPI:1326257056
Name:THERAPYWORKS FOR KIDS
Entity Type:Organization
Organization Name:THERAPYWORKS FOR KIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DANCHO
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL
Authorized Official - Phone:610-751-4158
Mailing Address - Street 1:39 PALOMINO CIR
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:PA
Mailing Address - Zip Code:18013-9517
Mailing Address - Country:US
Mailing Address - Phone:610-751-4158
Mailing Address - Fax:610-599-8917
Practice Address - Street 1:39 PALOMINO CIR
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:PA
Practice Address - Zip Code:18013-9517
Practice Address - Country:US
Practice Address - Phone:610-751-4158
Practice Address - Fax:610-599-8917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC007176L225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty