Therapeutic Associates INC

NPI #1144636358 in Eagle, Idaho

Provider Information

NPI Number: 1144636358
Entity Type: Organization
Organization Name: Therapeutic Associates INC
Primary Specialty: Physical Therapist
Enumeration Date: Jul 8, 2014
Last Updated: May 23, 2023

Practice Location

Address: 12 N FISHER PARK WAY
Address 2: STE. 100
City: Eagle
State: Idaho
ZIP Code: 83616-4704
Phone: (208) 939-0140

Authorized Official

Name: MELISSA HAMILTON
Title: DIR PAYER & PROVIDER RELATIONS
Phone: (503) 443-6156

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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