Provider Demographics
NPI:1932155793
Name:PM KNIGHTS, INC
Entity Type:Organization
Organization Name:PM KNIGHTS, INC
Other - Org Name:ITALK THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:KACSO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC/SLP
Authorized Official - Phone:407-252-7959
Mailing Address - Street 1:PO BOX 181897
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32718-1897
Mailing Address - Country:US
Mailing Address - Phone:407-252-7959
Mailing Address - Fax:866-274-8967
Practice Address - Street 1:1909 APPLEGATE CV
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-4150
Practice Address - Country:US
Practice Address - Phone:407-252-7959
Practice Address - Fax:866-274-8967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 7905235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty