Provider Demographics
NPI:1750919361
Name:MOBILE THERAPY GROUP LLC
Entity type:Organization
Organization Name:MOBILE THERAPY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:WEINBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:OT/L, CHT
Authorized Official - Phone:561-461-5343
Mailing Address - Street 1:630 S SAPODILLA AVE APT 117
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-4179
Mailing Address - Country:US
Mailing Address - Phone:561-461-5343
Mailing Address - Fax:
Practice Address - Street 1:801 S OLIVE AVE STE 106
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-6127
Practice Address - Country:US
Practice Address - Phone:561-461-5343
Practice Address - Fax:561-530-2026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty