Provider Demographics
NPI:1912282484
Name:THERAPY HEALTH CARE LLC
Entity Type:Organization
Organization Name:THERAPY HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIUDMILA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ-GOYANES
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:305-458-5738
Mailing Address - Street 1:9737 NW 41ST ST # 465
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-2924
Mailing Address - Country:US
Mailing Address - Phone:305-458-5738
Mailing Address - Fax:
Practice Address - Street 1:6501 NW 36TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:VIRGINIA GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33166-6959
Practice Address - Country:US
Practice Address - Phone:305-458-5738
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center