Provider Demographics
NPI:1861599920
Name:ADL ACHIEVEMENT THERAPY LLC
Entity type:Organization
Organization Name:ADL ACHIEVEMENT THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:A
Authorized Official - Last Name:COMISKEY
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL
Authorized Official - Phone:321-437-9460
Mailing Address - Street 1:1013 VERONA ST
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-5452
Mailing Address - Country:US
Mailing Address - Phone:407-870-5147
Mailing Address - Fax:407-931-0478
Practice Address - Street 1:1013 VERONA ST
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-5452
Practice Address - Country:US
Practice Address - Phone:407-870-5147
Practice Address - Fax:407-931-0478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty