Provider Demographics
NPI:1811300189
Name:THERAPEUTIC ALLIANCES INC
Entity type:Organization
Organization Name:THERAPEUTIC ALLIANCES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR CUSTOMER SERVICE
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-879-0734
Mailing Address - Street 1:333 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:FAIRBORN
Mailing Address - State:OH
Mailing Address - Zip Code:45324-4934
Mailing Address - Country:US
Mailing Address - Phone:937-879-0734
Mailing Address - Fax:
Practice Address - Street 1:333 N BROAD ST
Practice Address - Street 2:
Practice Address - City:FAIRBORN
Practice Address - State:OH
Practice Address - Zip Code:45324-4934
Practice Address - Country:US
Practice Address - Phone:937-879-0734
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-04
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH29029008332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies