Provider Demographics
NPI:1922402692
Name:PREMIER THERAPY SERVICES
Entity Type:Organization
Organization Name:PREMIER THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RENA
Authorized Official - Middle Name:
Authorized Official - Last Name:GERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:850-210-1172
Mailing Address - Street 1:1809 MICCOSUKEE COMMONS DR STE 112
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-5461
Mailing Address - Country:US
Mailing Address - Phone:850-210-1172
Mailing Address - Fax:
Practice Address - Street 1:1809 MICCOSUKEE COMMONS DR STE 112
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5461
Practice Address - Country:US
Practice Address - Phone:850-210-1172
Practice Address - Fax:850-210-0047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-09
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty