Healthcare Provider Details

I. General information

NPI: 1588811327
Provider Name (Legal Business Name): CHILDREN'S THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2008
Last Update Date: 08/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1512 WESTVIEW DR
COOPERSBURG PA
18036-3137
US

IV. Provider business mailing address

1512 WESTVIEW DR
COOPERSBURG PA
18036-3137
US

V. Phone/Fax

Practice location:
  • Phone: 610-928-0200
  • Fax: 610-928-0202
Mailing address:
  • Phone: 610-928-0200
  • Fax: 610-928-0202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH K OTT
Title or Position: PHYSICAL THERAPIST
Credential:
Phone: 215-766-0927