MEDICARE: SUNNY DAYS THERAPY LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	235Z00000X	Speech-Language Pathologist
3	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1316471709
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNNY DAYS THERAPY LLC

Provider Business Mailing Address
First Line	:	1625 N CIRCLE I RD
Second Line	:
City	:	WILLCOX
State	:	AZ
Zip	:	85643-3163
Country	:	US
Telephone Number	:	520-507-1627
Fax Number	:

Provider Business Practice Location Address
First Line	:	1625 N CIRCLE I RD
Second Line	:
City	:	WILLCOX
State	:	AZ
Zip	:	85643-3163
Country	:	US
Telephone Number	:	520-507-1627
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SUNNY LYNN DE BAUN
Credential	:
Telephone Number	:	520-507-1627

Provider Enumeration Date	:	04/12/2017
Last Update Date	:	03/18/2024

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Directions to “SUNNY DAYS THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

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