Healthcare Provider Details
I. General information
NPI: 1780605915
Provider Name (Legal Business Name): THE THERAPY SPOT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
315 MAIN ST SUITE 102
READING MA
01867-3620
US
IV. Provider business mailing address
315 MAIN ST SUITE 102
READING MA
01867-3620
US
V. Phone/Fax
- Phone: 781-944-2405
- Fax: 781-944-2406
- Phone: 781-944-2405
- Fax: 781-944-2406
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0400X |
| Taxonomy | Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
MEG
SIMIONE
Title or Position: OWNER
Credential: M.A. CCC-SLP
Phone: 781-944-2405