Provider Demographics
NPI:1649682352
Name:THERASENS INC
Entity type:Organization
Organization Name:THERASENS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MAGNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-250-6770
Mailing Address - Street 1:1900 GARDEN RD
Mailing Address - Street 2:SUITE 200C
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940
Mailing Address - Country:US
Mailing Address - Phone:831-250-6770
Mailing Address - Fax:831-250-6767
Practice Address - Street 1:1900 GARDEN RD
Practice Address - Street 2:SUITE 200-C
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5373
Practice Address - Country:US
Practice Address - Phone:831-250-6770
Practice Address - Fax:831-250-6767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2109225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty