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NPI Code Detail

MEDICARE: NORTH NAPLES THERAPY & ENRICHMENT SERVICES, P.A.

MEDICARE: NORTH NAPLES THERAPY & ENRICHMENT SERVICES, P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist
2225XP0200XPediatric Occupational Therapist

General Provider Information

NPI Number : 1003452582
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH NAPLES THERAPY & ENRICHMENT SERVICES, P.A.
Provider Business Mailing Address
First Line : 1421 PINE RIDGE RD STE 120
Second Line :
City : NAPLES
State : FL
Zip : 34109-2116
Country : US
Telephone Number : 239-597-0935
Fax Number : 239-597-0031
Provider Business Practice Location Address
First Line : 1421 PINE RIDGE RD STE 120
Second Line :
City : NAPLES
State : FL
Zip : 34109-2116
Country : US
Telephone Number : 239-597-0935
Fax Number : 239-597-0031
Authorized Official
Title or Position : PRESIDENT
Name : MRS. KATHRYN MITCHELL
Credential : MS, OTR/L
Telephone Number : 239-597-0935
Provider Enumeration Date : 11/20/2019
Last Update Date : 05/23/2023

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Directions to “NORTH NAPLES THERAPY & ENRICHMENT SERVICES, P.A. ” Practice Location

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