Provider Demographics
NPI:1316337884
Name:THERA MED REHABILITATION INC.
Entity type:Organization
Organization Name:THERA MED REHABILITATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:YUN-CHING
Authorized Official - Last Name:YANG-CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:626-272-0937
Mailing Address - Street 1:600 W MAIN ST STE 107
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-3362
Mailing Address - Country:US
Mailing Address - Phone:626-272-0937
Mailing Address - Fax:
Practice Address - Street 1:600 W MAIN ST, #107
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801
Practice Address - Country:US
Practice Address - Phone:626-272-0937
Practice Address - Fax:626-308-9230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-04
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 6613251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management