Provider Demographics
NPI:1659690865
Name:CARING HANDS PEDIATRIC THERAPY, LLC
Entity Type:Organization
Organization Name:CARING HANDS PEDIATRIC THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PREVIOUS OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SULSER
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:480-518-1535
Mailing Address - Street 1:1959 S. POWER RD STE 103-365
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-3768
Mailing Address - Country:US
Mailing Address - Phone:480-518-1535
Mailing Address - Fax:450-629-5443
Practice Address - Street 1:1959 S. POWER RD STE 103-365
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-3768
Practice Address - Country:US
Practice Address - Phone:480-518-1535
Practice Address - Fax:450-629-5443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-27
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP0533251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health