Provider Demographics
NPI:1336644137
Name:THERAPY SOLUTION GROUP LLC
Entity Type:Organization
Organization Name:THERAPY SOLUTION GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPINOSA GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:COTA/L
Authorized Official - Phone:786-382-4564
Mailing Address - Street 1:7415 SW 153RD CT APT 204
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-1738
Mailing Address - Country:US
Mailing Address - Phone:786-382-4564
Mailing Address - Fax:866-733-1905
Practice Address - Street 1:7415 SW 153RD CT APT 204
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-1738
Practice Address - Country:US
Practice Address - Phone:786-382-4564
Practice Address - Fax:866-733-1905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-26
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA14088224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Single Specialty