Provider Demographics
NPI:1255594511
Name:FIRST CHOICE THERAPY CENTER INC.
Entity type:Organization
Organization Name:FIRST CHOICE THERAPY CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCI
Authorized Official - Middle Name:
Authorized Official - Last Name:IUCULANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-514-5010
Mailing Address - Street 1:5644 TAVILLA CIRCLE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110
Mailing Address - Country:US
Mailing Address - Phone:239-514-5010
Mailing Address - Fax:239-514-5019
Practice Address - Street 1:5644 TAVILLA CIRCLE
Practice Address - Street 2:SUITE 104
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110
Practice Address - Country:US
Practice Address - Phone:239-514-5010
Practice Address - Fax:239-514-5019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty