Provider Demographics
NPI:1366629065
Name:TMB DEVELOPMENTAL THERAPY & INFANT MASSAGE, INC.
Entity Type:Organization
Organization Name:TMB DEVELOPMENTAL THERAPY & INFANT MASSAGE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:MCARTHUR
Authorized Official - Last Name:BOGDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-979-2987
Mailing Address - Street 1:862 HILLTOP RD
Mailing Address - Street 2:
Mailing Address - City:LEMOYNE
Mailing Address - State:PA
Mailing Address - Zip Code:17043-1202
Mailing Address - Country:US
Mailing Address - Phone:717-979-2987
Mailing Address - Fax:717-763-0390
Practice Address - Street 1:862 HILLTOP RD
Practice Address - Street 2:
Practice Address - City:LEMOYNE
Practice Address - State:PA
Practice Address - Zip Code:17043-1202
Practice Address - Country:US
Practice Address - Phone:717-979-2987
Practice Address - Fax:717-763-0390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency