MEDICARE: CAN DO KIDS THERAPY SERVICES, 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	261QA3000X	Augmentative Communication Clinic/Center	SL007164	PA
2	261QR0400X	Rehabilitation Clinic/Center	SL007164	PA
3	261QH0700X	Hearing and Speech Clinic/Center	SL007164	PA

General Provider Information

NPI Number	:	1598109696
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAN DO KIDS THERAPY SERVICES, LLC

Provider Business Mailing Address
First Line	:	5010 CURLY HORSE DR
Second Line	:
City	:	CENTER VALLEY
State	:	PA
Zip	:	18034-8778
Country	:	US
Telephone Number	:	484-891-1226
Fax Number	:

Provider Business Practice Location Address
First Line	:	5010 CURLY HORSE DR
Second Line	:
City	:	CENTER VALLEY
State	:	PA
Zip	:	18034-8778
Country	:	US
Telephone Number	:	484-891-1226
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DIRECTOR, SP LANG PATHOLOGIST
Name	:	REBECCA FREEH THORNBURG
Credential	:	M.S., CCC-SLP
Telephone Number	:	484-891-1226

Provider Enumeration Date	:	04/19/2013
Last Update Date	:	04/19/2013

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