Organization Name: | TRIANGLE THERAPY SERVICES, LLC |
NPI Number: | 1083785620 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARGIE W. BENGE (OWNER) |
Mailing Address: | 911 W Main St Eaton |
State: | OH US |
Postal Code: | 453209520 |
Phone Number: | 9374566505 |
Fax Number: | 9374566507 |
NPI Enumeration Date: | 11/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | PT 07130 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |