Healthcare Provider Details

I. General information

NPI: 1588620355
Provider Name (Legal Business Name): REGIONAL THERAPY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 04/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2410 W PLAZA DR
TALLAHASSEE FL
32308-5325
US

IV. Provider business mailing address

PO BOX 999
MOULTRIE GA
31776-0999
US

V. Phone/Fax

Practice location:
  • Phone: 850-385-6185
  • Fax: 850-385-2580
Mailing address:
  • Phone: 229-985-2080
  • Fax: 229-890-3397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number10-6803
License Number StateFL

VIII. Authorized Official

Name: MRS. PAM S REED
Title or Position: BUS OP ADM
Credential:
Phone: 229-985-2080