Provider Demographics
NPI:1629299102
Name:THERABILITIES, INC.
Entity Type:Organization
Organization Name:THERABILITIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:MALLIS
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL
Authorized Official - Phone:717-540-9218
Mailing Address - Street 1:4210 LINGLESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-1025
Mailing Address - Country:US
Mailing Address - Phone:717-540-9218
Mailing Address - Fax:717-545-3127
Practice Address - Street 1:4210 LINGLESTOWN RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-1025
Practice Address - Country:US
Practice Address - Phone:717-540-9218
Practice Address - Fax:717-545-3127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty