Provider Demographics
NPI:1477748267
Name:THARP, DARCI
Entity Type:Individual
Prefix:
First Name:DARCI
Middle Name:
Last Name:THARP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22311 BROOKHURST ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-8450
Mailing Address - Country:US
Mailing Address - Phone:714-965-2222
Mailing Address - Fax:714-965-2224
Practice Address - Street 1:22311 BROOKHURST ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92646-8450
Practice Address - Country:US
Practice Address - Phone:714-965-2222
Practice Address - Fax:714-965-2224
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT169312251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic