Provider Demographics
NPI:1518124668
Name:ADVANCE THERAPY ASSOCIATES LLC
Entity Type:Organization
Organization Name:ADVANCE THERAPY ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO
Authorized Official - Prefix:
Authorized Official - First Name:FILOMENA
Authorized Official - Middle Name:
Authorized Official - Last Name:RINALDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-577-3700
Mailing Address - Street 1:51 DEPOT ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:WATERTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06795-2629
Mailing Address - Country:US
Mailing Address - Phone:203-577-3700
Mailing Address - Fax:203-577-3800
Practice Address - Street 1:51 DEPOT ST
Practice Address - Street 2:SUITE 207
Practice Address - City:WATERTOWN
Practice Address - State:CT
Practice Address - Zip Code:06795-2629
Practice Address - Country:US
Practice Address - Phone:203-577-3700
Practice Address - Fax:203-577-3800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-16
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency