MEDICARE: IN TOUCH THERAPY LLC

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
1	171W00000X	Contractor		FL

General Provider Information

NPI Number	:	1205147055
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IN TOUCH THERAPY LLC

Provider Business Mailing Address
First Line	:	120 STATE ST E
Second Line	:	SUITE 102
City	:	OLDSMAR
State	:	FL
Zip	:	34677-3647
Country	:	US
Telephone Number	:	727-608-1994
Fax Number	:	727-608-1991

Provider Business Practice Location Address
First Line	:	120 STATE ST E
Second Line	:	SUITE 102
City	:	OLDSMAR
State	:	FL
Zip	:	34677-3647
Country	:	US
Telephone Number	:	727-608-1994
Fax Number	:	727-608-1991

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MRS. GRISEL RUIZ
Credential	:	OTR/L
Telephone Number	:	727-608-1994

Provider Enumeration Date	:	06/27/2010
Last Update Date	:	07/22/2010

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Directions to “IN TOUCH THERAPY LLC ” Practice Location

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