Healthcare Provider Details

I. General information

NPI: 1700147824
Provider Name (Legal Business Name): H & M THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2012
Last Update Date: 06/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 SARASOTA CENTER BLVD SUITE 101
SARASOTA FL
34240-9385
US

IV. Provider business mailing address

63 SARASOTA CENTER BLVD SUITE 101
SARASOTA FL
34240-9385
US

V. Phone/Fax

Practice location:
  • Phone: 941-379-3725
  • Fax: 941-377-1131
Mailing address:
  • Phone: 941-379-3725
  • Fax: 941-377-1131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. IAN HARDING
Title or Position: MANAGER
Credential:
Phone: 941-379-3725