Provider Demographics
NPI:1598882219
Name:CHILDREN'S THERAPY SERVICES
Entity Type:Organization
Organization Name:CHILDREN'S THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:B
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-271-3288
Mailing Address - Street 1:46 ROXBURY CT
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-1511
Mailing Address - Country:US
Mailing Address - Phone:203-271-3288
Mailing Address - Fax:203-271-3288
Practice Address - Street 1:46 ROXBURY CT
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-1511
Practice Address - Country:US
Practice Address - Phone:203-271-3288
Practice Address - Fax:203-271-3288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Not Answered261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation