Healthcare Provider Details
I. General information
NPI: 1861984932
Provider Name (Legal Business Name): ABILITY LEARNING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/04/2018
Last Update Date: 06/14/2023
Certification Date: 06/06/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13733 OFFICE PARK CT
HUDSON FL
34667-7144
US
IV. Provider business mailing address
11516 OYSTER BAY CIR
NEW PORT RICHEY FL
34654-4469
US
V. Phone/Fax
- Phone: 727-378-4182
- Fax:
- Phone: 727-605-3060
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XP0200X |
| Taxonomy | Pediatric Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TRISHA
FRITZ
Title or Position: OWNER
Credential:
Phone: 727-605-3060