Provider Demographics
NPI:1841562428
Name:ALL THERAPY SERVICES, PLLC
Entity Type:Organization
Organization Name:ALL THERAPY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:GIANNAMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-563-7242
Mailing Address - Street 1:1038 CASTAWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32963-2463
Mailing Address - Country:US
Mailing Address - Phone:772-564-6769
Mailing Address - Fax:
Practice Address - Street 1:1060 6TH AVE
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-5922
Practice Address - Country:US
Practice Address - Phone:772-564-6769
Practice Address - Fax:772-564-6767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-30
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 3140235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty