Provider Demographics
NPI:1922321397
Name:THERAPY RESOURCES INC.
Entity Type:Organization
Organization Name:THERAPY RESOURCES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:EUGIELYN
Authorized Official - Middle Name:LIBERATO
Authorized Official - Last Name:MONTERO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:619-203-3051
Mailing Address - Street 1:2441 E PLAZA BLVD
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-5101
Mailing Address - Country:US
Mailing Address - Phone:619-434-2063
Mailing Address - Fax:619-336-0201
Practice Address - Street 1:1727 SWEETWATER RD STE 117
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-7651
Practice Address - Country:US
Practice Address - Phone:619-434-2063
Practice Address - Fax:619-336-0201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-12
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA225100000X261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1821329368Medicare PIN
CA1235261934Medicare PIN