Provider Demographics
NPI:1518390673
Name:READY SET GO THERAPY, LLC
Entity Type:Organization
Organization Name:READY SET GO THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NELIDA
Authorized Official - Middle Name:ROSARIO
Authorized Official - Last Name:ZITO
Authorized Official - Suffix:
Authorized Official - Credentials:BS-ITFS
Authorized Official - Phone:919-255-0297
Mailing Address - Street 1:1005 ROCKWELL CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-8774
Mailing Address - Country:US
Mailing Address - Phone:919-803-2720
Mailing Address - Fax:919-803-2869
Practice Address - Street 1:1005 ROCKWELL CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-8774
Practice Address - Country:US
Practice Address - Phone:919-803-2720
Practice Address - Fax:919-803-2869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCITP # 1205252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency