Provider Demographics
NPI:1134441041
Name:THERAPY RESOURCE NETWORK, INC.
Entity type:Organization
Organization Name:THERAPY RESOURCE NETWORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:TAYLOR
Authorized Official - Last Name:MILANI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:229-273-9445
Mailing Address - Street 1:1107 GREER ST STE B
Mailing Address - Street 2:
Mailing Address - City:CORDELE
Mailing Address - State:GA
Mailing Address - Zip Code:31015-1921
Mailing Address - Country:US
Mailing Address - Phone:229-322-5880
Mailing Address - Fax:229-271-3760
Practice Address - Street 1:1107 GREER ST STE B
Practice Address - Street 2:
Practice Address - City:CORDELE
Practice Address - State:GA
Practice Address - Zip Code:31015-1921
Practice Address - Country:US
Practice Address - Phone:229-322-5880
Practice Address - Fax:229-271-3760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-18
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA5830261QR0400X, 261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation