Provider Demographics
NPI:1710428198
Name:THERAPEUTIC REWARDS
Entity Type:Organization
Organization Name:THERAPEUTIC REWARDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TOLISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:OTD,OTR/L
Authorized Official - Phone:334-657-2413
Mailing Address - Street 1:6430 TAYLOR RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-6518
Mailing Address - Country:US
Mailing Address - Phone:334-657-2413
Mailing Address - Fax:
Practice Address - Street 1:6430 TAYLOR RIDGE RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-6518
Practice Address - Country:US
Practice Address - Phone:334-657-2413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-17
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1595252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency