Provider Demographics
NPI:1144509464
Name:PIONEER THERAPY SOLUTIONS
Entity type:Organization
Organization Name:PIONEER THERAPY SOLUTIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:817-812-9298
Mailing Address - Street 1:4700 SLIPPERY ROCK DR
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76123-4040
Mailing Address - Country:US
Mailing Address - Phone:817-812-9298
Mailing Address - Fax:
Practice Address - Street 1:4700 SLIPPERY ROCK DR
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76123-4040
Practice Address - Country:US
Practice Address - Phone:817-812-9298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107244251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health