Provider Demographics
NPI:1972930923
Name:SPECIALIZED THERAPY SOLUTIONS, INC
Entity Type:Organization
Organization Name:SPECIALIZED THERAPY SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:813-244-1488
Mailing Address - Street 1:PO BOX 543
Mailing Address - Street 2:
Mailing Address - City:THONOTOSASSA
Mailing Address - State:FL
Mailing Address - Zip Code:33592-0543
Mailing Address - Country:US
Mailing Address - Phone:813-244-8774
Mailing Address - Fax:888-891-0334
Practice Address - Street 1:6408 CAUSEWAY BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-6350
Practice Address - Country:US
Practice Address - Phone:813-244-8774
Practice Address - Fax:888-891-0334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-07
Last Update Date:2013-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT13510261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy