Provider Demographics
NPI:1952742389
Name:PH THERAPY HOLDINGS LLC
Entity Type:Organization
Organization Name:PH THERAPY HOLDINGS LLC
Other - Org Name:DYSLEXIA INSTITUTES OF AMERICA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAUSSMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MOT, OTR/L CLT
Authorized Official - Phone:580-276-6656
Mailing Address - Street 1:7122 S SHERIDAN RD
Mailing Address - Street 2:STE 2-564
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133
Mailing Address - Country:US
Mailing Address - Phone:580-276-6656
Mailing Address - Fax:888-857-0023
Practice Address - Street 1:7040 S YALE AVE
Practice Address - Street 2:STE 750
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136
Practice Address - Country:US
Practice Address - Phone:580-276-6656
Practice Address - Fax:888-857-0023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-15
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK864225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty