Provider Demographics
NPI:1811584485
Name:AVOCATION THERAPY, LLC
Entity Type:Organization
Organization Name:AVOCATION THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND RECREATION THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:FIONA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:CTRS
Authorized Official - Phone:979-987-1189
Mailing Address - Street 1:PO BOX 372
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77806-0372
Mailing Address - Country:US
Mailing Address - Phone:979-987-1189
Mailing Address - Fax:
Practice Address - Street 1:414 BROOKSIDE DR E
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77801-3701
Practice Address - Country:US
Practice Address - Phone:979-987-1189
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation TherapistGroup - Single Specialty