Healthcare Provider Details

I. General information

NPI: 1124034608
Provider Name (Legal Business Name): THERAPEUTIC INTEGRATION SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 08/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2960 IMMOKALEE RD SUITE 3
NAPLES FL
34110-1439
US

IV. Provider business mailing address

2960 IMMOKALEE RD SUITE 3
NAPLES FL
34110-1439
US

V. Phone/Fax

Practice location:
  • Phone: 239-514-5010
  • Fax: 239-514-5019
Mailing address:
  • Phone: 239-514-5010
  • Fax: 239-514-5019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. BARBARA H LINDNER
Title or Position: PRESIDENT/OT
Credential: M. ED. OTR/L
Phone: 239-514-5010