Provider Demographics
NPI:1861696627
Name:THERAPY FIRST LLC
Entity type:Organization
Organization Name:THERAPY FIRST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:PROF
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CARROLL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:239-289-9332
Mailing Address - Street 1:9119 SHADOW GLEN WAY
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33913-6602
Mailing Address - Country:US
Mailing Address - Phone:239-289-9332
Mailing Address - Fax:239-225-9127
Practice Address - Street 1:36 BARKLEY CIR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-4520
Practice Address - Country:US
Practice Address - Phone:239-289-9332
Practice Address - Fax:239-225-9127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT6108261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation