Therapy Interventions And Resource Agency, Llc

NPI 1295008183 - Clinic/Center - 261QP2000X

NPI Details
NPI 1295008183
Enumeration Date 02/23/2012
Last Updated 02/23/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ANDREI MONTEMAYOR ANDREI
Position OWNER/SOLE MEMBER
Phone (862) 248-0840
Fax (862) 248-0841
Practice Location
1777 HAMBURG TPKE
SUITE 105
WAYNE NJ, 07470-5211, US
Phone (862) 248-0840
Fax (862) 248-0841
Business Location
1777 HAMBURG TPKE
SUITE 105
WAYNE NJ, 07470-5211, US
Phone (862) 248-0840
Fax (862) 248-0841
Toxanomy
Taxonomy Code 261QP2000X
License State New Jersey
License Number 40QA00694800
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According to our database, Therapy Interventions And Resource Agency, Llc NPI is 1295008183, taxonomy code is 261QP2000X and license number is 40QA00694800, license state is located at New Jersey. Therapy Interventions And Resource Agency, Llc physically located at 1777 Hamburg Tpke, Wayne NJ, 07470-5211. NPI Number 1033115704 has the healthcare provider type.

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1295008183 NPI number is provided on an as is basis without warranty of any kind. 1295008183 is maintained by the National Plan & Provider Enumeration System. The contents of Therapy Interventions And Resource Agency, Llc are for informational purposes only.