Provider Demographics
NPI:1215648043
Name:CANCER THERAPY SPECIALISTS INC
Entity type:Organization
Organization Name:CANCER THERAPY SPECIALISTS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:MONDRY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:760-622-8686
Mailing Address - Street 1:380 PASEO PACIFICA
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-3644
Mailing Address - Country:US
Mailing Address - Phone:619-415-5817
Mailing Address - Fax:619-934-9581
Practice Address - Street 1:171 CALLE MAGDALENA STE 102
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-3745
Practice Address - Country:US
Practice Address - Phone:
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-13
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty