Provider Demographics
NPI:1053762013
Name:IN-HOME THERAPY SERVICES OF WESLEY CHAPEL, FL LLC
Entity type:Organization
Organization Name:IN-HOME THERAPY SERVICES OF WESLEY CHAPEL, FL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAMS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:804-929-2222
Mailing Address - Street 1:28731 CORBARA PL
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-6431
Mailing Address - Country:US
Mailing Address - Phone:804-929-2222
Mailing Address - Fax:
Practice Address - Street 1:28731 CORBARA PL
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543-6431
Practice Address - Country:US
Practice Address - Phone:804-929-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-30
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
FL30050251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No251E00000XAgenciesHome Health