Provider Demographics
NPI:1164945986
Name:RAS THERAPY CARE LLC
Entity Type:Organization
Organization Name:RAS THERAPY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAHEEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:SIDDIQUI
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:215-941-6289
Mailing Address - Street 1:3201 JENNIFER CT
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-3003
Mailing Address - Country:US
Mailing Address - Phone:856-264-7024
Mailing Address - Fax:856-210-1888
Practice Address - Street 1:2417 WELSH RD STE 205B
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-2211
Practice Address - Country:US
Practice Address - Phone:215-941-6289
Practice Address - Fax:215-629-1047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-24
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty