Provider Demographics
NPI:1578870192
Name:THERAPEUTIC ALTERNATIVES INC
Entity Type:Organization
Organization Name:THERAPEUTIC ALTERNATIVES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / P.T.
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BENDER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:847-356-4401
Mailing Address - Street 1:1909 E GRAND AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:LINDENHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60046-7960
Mailing Address - Country:US
Mailing Address - Phone:847-356-4401
Mailing Address - Fax:847-356-4431
Practice Address - Street 1:1909 E GRAND AVE
Practice Address - Street 2:SUITE B
Practice Address - City:LINDENHURST
Practice Address - State:IL
Practice Address - Zip Code:60046-7960
Practice Address - Country:US
Practice Address - Phone:847-356-4401
Practice Address - Fax:847-356-4431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-02
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty