Provider Demographics
NPI:1578164661
Name:PATHWAYS THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:PATHWAYS THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:COMISKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-437-9460
Mailing Address - Street 1:4417 13TH ST # 159
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-6724
Mailing Address - Country:US
Mailing Address - Phone:321-437-9460
Mailing Address - Fax:407-593-2495
Practice Address - Street 1:4417 13TH ST # 159
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-6724
Practice Address - Country:US
Practice Address - Phone:321-437-9460
Practice Address - Fax:407-593-2495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty