Provider Demographics
NPI:1659631679
Name:THERAPY EXCHANGE
Entity Type:Organization
Organization Name:THERAPY EXCHANGE
Other - Org Name:ARBOR AT HERITAGE ESTATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACEE
Authorized Official - Middle Name:D
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MPT,DPT
Authorized Official - Phone:972-786-6839
Mailing Address - Street 1:344 BRAEWICK DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76131-4274
Mailing Address - Country:US
Mailing Address - Phone:972-786-6839
Mailing Address - Fax:817-750-1277
Practice Address - Street 1:2240 HORSEBACK TRL
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76177-7574
Practice Address - Country:US
Practice Address - Phone:972-786-6839
Practice Address - Fax:817-750-1277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-23
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities