Healthcare Provider Details
I. General information
NPI: 1396938056
Provider Name (Legal Business Name): CAN DO THERAPIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/24/2007
Last Update Date: 01/10/2022
Certification Date: 01/10/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
112 W CITRUS ST
ALTAMONTE SPRINGS FL
32714-2502
US
IV. Provider business mailing address
112 W CITRUS ST
ALTAMONTE SPRINGS FL
32714-2502
US
V. Phone/Fax
- Phone: 407-865-5642
- Fax: 407-865-5646
- Phone: 407-865-5642
- Fax: 407-865-5646
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CRAIG
DICK
Title or Position: DIRECTOR
Credential:
Phone: 407-865-5642