Provider Demographics
NPI:1982052437
Name:THERAPY & REHAB ASSOCIATES, LLC
Entity Type:Organization
Organization Name:THERAPY & REHAB ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:B
Authorized Official - Last Name:OLVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-799-7271
Mailing Address - Street 1:11856 BALBOA BLVD # 440
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-2753
Mailing Address - Country:US
Mailing Address - Phone:818-799-7271
Mailing Address - Fax:818-979-2216
Practice Address - Street 1:670 SAN FERNANDO MISSION BLVD # B
Practice Address - Street 2:
Practice Address - City:SAN FERNANDO
Practice Address - State:CA
Practice Address - Zip Code:91340-3959
Practice Address - Country:US
Practice Address - Phone:818-799-7271
Practice Address - Fax:818-979-2216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-25
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy