Provider Demographics
NPI:1447557343
Name:RARE THEARPY
Entity Type:Organization
Organization Name:RARE THEARPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:
Authorized Official - Last Name:HARVIN
Authorized Official - Suffix:
Authorized Official - Credentials:LTR/CTRS
Authorized Official - Phone:828-443-5678
Mailing Address - Street 1:1607 TEMPLE ST SW
Mailing Address - Street 2:
Mailing Address - City:VALDESE
Mailing Address - State:NC
Mailing Address - Zip Code:28690-9330
Mailing Address - Country:US
Mailing Address - Phone:828-443-5678
Mailing Address - Fax:
Practice Address - Street 1:1607 TEMPLE ST SW
Practice Address - Street 2:
Practice Address - City:VALDESE
Practice Address - State:NC
Practice Address - Zip Code:28690-9330
Practice Address - Country:US
Practice Address - Phone:828-443-5678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-12
Last Update Date:2011-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC876225800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation TherapistGroup - Single Specialty