Provider Demographics
NPI:1437867389
Name:PIKO THERAPY
Entity Type:Organization
Organization Name:PIKO THERAPY
Other - Org Name:PIKO THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRASQUILLO CARMONA
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:787-460-9112
Mailing Address - Street 1:40 CONDO VEREDAS DEL RIO APT. 135
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987
Mailing Address - Country:US
Mailing Address - Phone:787-668-9026
Mailing Address - Fax:
Practice Address - Street 1:AVE. ROBERTO SANCHEZ
Practice Address - Street 2:VILELLA EDF. 903 LOCAL C-2
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924
Practice Address - Country:US
Practice Address - Phone:787-460-9112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-09
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty