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NPI Code Detail

MEDICARE: INTEGRATED THERAPY, INC

MEDICARE: INTEGRATED THERAPY, INC
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
1225X00000XOccupational Therapist
2235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1205114436
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRATED THERAPY, INC
Provider Business Mailing Address
First Line : 125 NED DR
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5101
Country : US
Telephone Number : 732-363-7937
Fax Number :
Provider Business Practice Location Address
First Line : 125 NED DR
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5101
Country : US
Telephone Number : 732-363-7937
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. YUTTA WEISS
Credential : SLP
Telephone Number : 732-363-7937
Provider Enumeration Date : 07/21/2011
Last Update Date : 10/15/2012

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Directions to “INTEGRATED THERAPY, INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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