Provider Demographics
NPI:1972118453
Name:THERAPEUTIC LEARNING,LLC
Entity type:Organization
Organization Name:THERAPEUTIC LEARNING,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:S
Authorized Official - Last Name:ROSENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:BA COTA
Authorized Official - Phone:954-536-2322
Mailing Address - Street 1:2674 OAK PARK CIR
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-6722
Mailing Address - Country:US
Mailing Address - Phone:954-536-2322
Mailing Address - Fax:954-329-0007
Practice Address - Street 1:2674 OAK PARK CIR
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-6722
Practice Address - Country:US
Practice Address - Phone:954-536-2322
Practice Address - Fax:954-329-0007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-11
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Single Specialty