Provider Demographics
NPI:1336987817
Name:EARLY TOUCH THERAPY
Entity type:Organization
Organization Name:EARLY TOUCH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BORGES-BIRCA
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:786-447-7181
Mailing Address - Street 1:19355 NE 10TH AVE APT 212
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-5711
Mailing Address - Country:US
Mailing Address - Phone:786-447-7181
Mailing Address - Fax:
Practice Address - Street 1:19355 NE 10TH AVE APT 212
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-5711
Practice Address - Country:US
Practice Address - Phone:786-447-7181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BOMB SQUAD BASEBALL ACADEMY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-18
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty