Provider Demographics
NPI:1336859834
Name:CORNISH THERAPY WORKS, INC
Entity Type:Organization
Organization Name:CORNISH THERAPY WORKS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MAWHINEY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:888-439-1295
Mailing Address - Street 1:74057 HIGHWAY 111
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-4105
Mailing Address - Country:US
Mailing Address - Phone:760-568-9811
Mailing Address - Fax:760-568-9866
Practice Address - Street 1:74057 HIGHWAY 111
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-4105
Practice Address - Country:US
Practice Address - Phone:760-568-9811
Practice Address - Fax:760-568-9866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-25
Last Update Date:2022-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty