MEDICARE: ALL THERAPY SERVICES, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SA 3140	FL

General Provider Information

NPI Number	:	1841562428
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL THERAPY SERVICES, PLLC

Provider Business Mailing Address
First Line	:	1038 CASTAWAY BLVD
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32963-2463
Country	:	US
Telephone Number	:	772-564-6769
Fax Number	:

Provider Business Practice Location Address
First Line	:	1060 6TH AVE
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-5922
Country	:	US
Telephone Number	:	772-564-6769
Fax Number	:	772-564-6767

Authorized Official
Title or Position	:	OWNER
Name	:	MARY GIANNAMORE
Credential	:
Telephone Number	:	772-563-7242

Provider Enumeration Date	:	01/30/2012
Last Update Date	:	01/30/2012

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