Provider Demographics
NPI:1750728374
Name:THERAPY SPECIALTIES, LLC
Entity type:Organization
Organization Name:THERAPY SPECIALTIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AUDREY
Authorized Official - Middle Name:M
Authorized Official - Last Name:JOY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:207-664-3361
Mailing Address - Street 1:806 W EHRINGHAUS ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27909-6935
Mailing Address - Country:US
Mailing Address - Phone:252-652-6115
Mailing Address - Fax:
Practice Address - Street 1:806 W EHRINGHAUS ST
Practice Address - Street 2:
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-6935
Practice Address - Country:US
Practice Address - Phone:252-652-6115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-23
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12867261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy