Provider Demographics
NPI:1285224659
Name:THERAPEUTIC ART UNLIMITED, PC
Entity Type:Organization
Organization Name:THERAPEUTIC ART UNLIMITED, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMALIN
Authorized Official - Suffix:
Authorized Official - Credentials:COTA/L
Authorized Official - Phone:267-568-2557
Mailing Address - Street 1:148 E STREET RD STE 312
Mailing Address - Street 2:
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-7604
Mailing Address - Country:US
Mailing Address - Phone:267-568-2557
Mailing Address - Fax:
Practice Address - Street 1:1502 NESHAMINY VALLEY DR
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-1231
Practice Address - Country:US
Practice Address - Phone:267-568-2557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-20
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty