Provider Demographics
NPI:1083088694
Name:ENABLE THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:ENABLE THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:
Authorized Official - Last Name:O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-277-5006
Mailing Address - Street 1:711 E MISSOURI AVE
Mailing Address - Street 2:SUITE 170
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-2841
Mailing Address - Country:US
Mailing Address - Phone:602-277-5006
Mailing Address - Fax:602-277-5042
Practice Address - Street 1:711 E MISSOURI AVE
Practice Address - Street 2:SUITE 170
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-2841
Practice Address - Country:US
Practice Address - Phone:602-277-5006
Practice Address - Fax:602-277-5042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-19
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health