Therapeutic Potentials, Inc | |
6977 Professional Pkwy E, Lakewood Ranch, FL 34240-8411 | |
(941) 758-3140 | |
(941) 870-4891 |
Full Name | Therapeutic Potentials, Inc |
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Type | Facility |
Speciality | Clinic/center |
Location | 6977 Professional Pkwy E, Lakewood Ranch, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013135169 | NPI | - | NPPES |
888464102 | Medicaid | FL | |
888464100 | Medicaid | FL | |
888464101 | Medicaid | FL |
Provider Name | Sharon Fisher |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982803649 PECOS PAC ID: 0840386439 Enrollment ID: I20071012000001 |
Provider Name | Maxine Josee Watson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417135351 PECOS PAC ID: 5294052197 Enrollment ID: I20150401002241 |
Provider Name | Jennifer Colombo |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1053512079 PECOS PAC ID: 0941105720 Enrollment ID: I20171102003580 |
Provider Name | Lauren Galvan |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1295059095 PECOS PAC ID: 5092161927 Enrollment ID: I20231027002532 |
Provider Name | Kimberly Mcguire |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043415664 PECOS PAC ID: 2769839000 Enrollment ID: I20231108002865 |
Provider Name | Brooke Tuman |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1447037510 PECOS PAC ID: 6507213501 Enrollment ID: I20231113003563 |
Mailing Address | Practice Location Address |
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Therapeutic Potentials, Inc 6977 Professional Pkwy E, Lakewood Ranch, FL 34240-8411 Ph: (941) 758-3140 | Therapeutic Potentials, Inc 6977 Professional Pkwy E, Lakewood Ranch, FL 34240-8411 Ph: (941) 758-3140 |