Healthcare Provider Details
I. General information
NPI: 1730390881
Provider Name (Legal Business Name): TALKING TOTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/24/2007
Last Update Date: 06/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6550 HUNTING CREEK DR
LIBERTY TOWNSHIP OH
45044-9544
US
IV. Provider business mailing address
6550 HUNTING CREEK DR
LIBERTY TOWNSHIP OH
45044-9544
US
V. Phone/Fax
- Phone: 513-759-2366
- Fax: 513-759-2366
- Phone: 513-759-2366
- Fax: 513-759-2366
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251P0200X |
| Taxonomy | Pediatric Physical Therapist |
| License Number | PT-10030 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | SP 7259 |
| License Number State | OH |
VIII. Authorized Official
Name: MRS.
MERRIDETH
DIANNE
BURT
Title or Position: OWNER
Credential: M.S. SLP
Phone: 513-759-2366