Provider Demographics
NPI:1598109696
Name:CAN DO KIDS THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:CAN DO KIDS THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR, SP LANG PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:FREEH
Authorized Official - Last Name:THORNBURG
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:484-891-1226
Mailing Address - Street 1:5010 CURLY HORSE DR
Mailing Address - Street 2:
Mailing Address - City:CENTER VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18034-8778
Mailing Address - Country:US
Mailing Address - Phone:484-891-1226
Mailing Address - Fax:
Practice Address - Street 1:5010 CURLY HORSE DR
Practice Address - Street 2:
Practice Address - City:CENTER VALLEY
Practice Address - State:PA
Practice Address - Zip Code:18034-8778
Practice Address - Country:US
Practice Address - Phone:484-891-1226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-19
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL007164261QA3000X, 261QH0700X, 261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No261QA3000XAmbulatory Health Care FacilitiesClinic/CenterAugmentative Communication
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation