Provider Demographics
NPI:1437415775
Name:CAPITAL THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:CAPITAL THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHANNA
Authorized Official - Middle Name:SASHA
Authorized Official - Last Name:ENGEL
Authorized Official - Suffix:
Authorized Official - Credentials:OTR-L
Authorized Official - Phone:610-580-9066
Mailing Address - Street 1:1445 CITY AVE
Mailing Address - Street 2:SUITE 6A
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-3831
Mailing Address - Country:US
Mailing Address - Phone:610-580-9066
Mailing Address - Fax:
Practice Address - Street 1:1445 CITY AVE
Practice Address - Street 2:SUITE 6A
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-3831
Practice Address - Country:US
Practice Address - Phone:610-580-9066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-11
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty