Healthcare Provider Details

I. General information

NPI: 1972564409
Provider Name (Legal Business Name): CHILDREN'S THERAPY SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2006
Last Update Date: 07/28/2023
Certification Date: 07/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3823 E STATE ROAD 64
BRADENTON FL
34208-9041
US

IV. Provider business mailing address

3823 E STATE ROAD 64
BRADENTON FL
34208-9041
US

V. Phone/Fax

Practice location:
  • Phone: 941-745-5111
  • Fax: 941-745-5667
Mailing address:
  • Phone: 941-745-5111
  • Fax: 941-745-5667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberMH 8076
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT 9305
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. LENA THORESEN
Title or Position: CO-OWNER
Credential: OTR/L
Phone: 941-745-5111