Provider Demographics
NPI:1831905561
Name:THRIVE MATERNAL CARE PC
Entity type:Organization
Organization Name:THRIVE MATERNAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, CFO, SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:ISABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTOUNIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L
Authorized Official - Phone:408-676-8260
Mailing Address - Street 1:51 E CAMPBELL AVE STE 100C
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-2051
Mailing Address - Country:US
Mailing Address - Phone:408-676-8260
Mailing Address - Fax:669-333-3150
Practice Address - Street 1:51 E CAMPBELL AVE STE 100C
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-2051
Practice Address - Country:US
Practice Address - Phone:408-676-8260
Practice Address - Fax:669-333-3150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-07
Last Update Date:2024-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty