Healthcare Provider Details

I. General information

NPI: 1528017787
Provider Name (Legal Business Name): THERAPYMATTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 05/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 STATE ST E SUITE 105B
OLDSMAR FL
34677-3647
US

IV. Provider business mailing address

120 STATE ST E SUITE 105B
OLDSMAR FL
34677-3647
US

V. Phone/Fax

Practice location:
  • Phone: 813-610-4143
  • Fax: 727-608-1991
Mailing address:
  • Phone: 813-610-4143
  • Fax: 727-608-1991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. GRISEL RUIZ
Title or Position: CEO
Credential: OTR/L
Phone: 813-610-4143