Healthcare Provider Details

I. General information

NPI: 1043409576
Provider Name (Legal Business Name): THERAPY SOLUTIONS CHILDREN'S SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2007
Last Update Date: 10/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7051 PASSYUNK AVE
PHILADELPHIA PA
19142-1724
US

IV. Provider business mailing address

7051 PASSYUNK AVE
PHILADELPHIA PA
19142-1724
US

V. Phone/Fax

Practice location:
  • Phone: 215-492-1079
  • Fax:
Mailing address:
  • Phone: 215-492-1079
  • Fax:

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: BARBARA COAXUM
Title or Position: DIRECTOR/SPEECH LANGUAGE PATHOLOGIS
Credential: M.A.C.C.C.SLP
Phone: 215-492-1079