Provider Demographics
NPI:1891104758
Name:PEDIATRIC THERAPY SOLUTIONS
Entity Type:Organization
Organization Name:PEDIATRIC THERAPY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BETTS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:207-218-1110
Mailing Address - Street 1:171 HIGH ST STE 11
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-6571
Mailing Address - Country:US
Mailing Address - Phone:207-218-1110
Mailing Address - Fax:
Practice Address - Street 1:171 HIGH ST STE 11
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6571
Practice Address - Country:US
Practice Address - Phone:207-218-1110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-05
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT2191225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty