Provider Demographics
NPI:1225801574
Name:THRIVE THERAPY NV PLLC / ELITE OCCUPATIONAL THERAPY SERVICES
Entity Type:Organization
Organization Name:THRIVE THERAPY NV PLLC / ELITE OCCUPATIONAL THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:BRIJBAG
Authorized Official - Suffix:
Authorized Official - Credentials:OTD,OTR/L,ASDCS,PN
Authorized Official - Phone:310-728-5523
Mailing Address - Street 1:1575 W HORIZON RIDGE PKWY #531396
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-3503
Mailing Address - Country:US
Mailing Address - Phone:310-728-5523
Mailing Address - Fax:
Practice Address - Street 1:3024 MISTY HARBOUR DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-3503
Practice Address - Country:US
Practice Address - Phone:310-728-5523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health