Organization Name: | INTERACTIVE THERAPIES & FITNESS, INC. |
NPI Number: | 1356470728 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIFFANY W. DOHNER (OWNER) |
Mailing Address: | 3329 Owls Roost Rd Greensboro |
State: | NC US |
Postal Code: | 274109746 |
Phone Number: | 3362096927 |
Fax Number: | 3362944216 |
NPI Enumeration Date: | 03/03/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 5388 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |