Provider Demographics
NPI:1558634311
Name:THERASALUD INC
Entity type:Organization
Organization Name:THERASALUD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELVIRA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CARRILLO
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:941-493-6781
Mailing Address - Street 1:966 SKLAR DR W
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-2046
Mailing Address - Country:US
Mailing Address - Phone:941-493-6781
Mailing Address - Fax:941-493-6781
Practice Address - Street 1:966 SKLAR DR W
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293-2046
Practice Address - Country:US
Practice Address - Phone:941-493-6781
Practice Address - Fax:941-493-6781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-09
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty