Provider Demographics
NPI:1356635825
Name:TRANS WORLD THERAPY, LLC
Entity Type:Organization
Organization Name:TRANS WORLD THERAPY, LLC
Other - Org Name:TRANS WORLD THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:U
Authorized Official - Last Name:HUJSA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:239-444-1705
Mailing Address - Street 1:27499 RIVERVIEW CENTER BLVD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34134-4313
Mailing Address - Country:US
Mailing Address - Phone:239-444-1705
Mailing Address - Fax:
Practice Address - Street 1:27499 RIVERVIEW CENTER BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34134-4313
Practice Address - Country:US
Practice Address - Phone:239-444-1705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-02
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT6341261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy