Organization Name: | THERAPIA INC. |
NPI Number: | 1174674451 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANYA JOHNSON (OWNER) |
Mailing Address: | 700 3rd St Suite 202 Neptune Beach |
State: | FL US |
Postal Code: | 322665072 |
Phone Number: | 9042495020 |
Fax Number: | 9042417777 |
NPI Enumeration Date: | 01/15/2007 |
NPI Last Update Date: | 05/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0401X |
License Number: | 0701372 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Taxonomy Definition: |