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Contact Information

DIVINE DELIVERANCE THERAPY SERVICES, LLC
5401 S KIRKMAN RD STE 310
ORLANDO, FL32819-7937
 Phone: 407-719-3024
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Early Intervention Provider Agency

252Y00000X
 

Mental Health

101YM0800X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Occupational Therapy Assistant

224Z00000X
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for DIVINE DELIVERANCE THERAPY SERVICES, LLC

NPI # 1730612185
LBN Legal business name DIVINE DELIVERANCE THERAPY SERVICES, LLC
Authorized official LABRINA JACKSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/04/2017
Last updated 03/07/2018 - About 8 years ago
Identifiers
FL License # SA13099
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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