Provider Demographics
NPI:1376298489
Name:A TO Z THERAPY LLC
Entity Type:Organization
Organization Name:A TO Z THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:AZMINA
Authorized Official - Middle Name:
Authorized Official - Last Name:VINING
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:651-353-0634
Mailing Address - Street 1:6693 TIMBER RIDGE LANE CT
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55016-6100
Mailing Address - Country:US
Mailing Address - Phone:651-353-0634
Mailing Address - Fax:
Practice Address - Street 1:6693 TIMBER RIDGE LANE CT
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55016-6100
Practice Address - Country:US
Practice Address - Phone:651-353-0634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty