Provider Demographics
NPI:1588060784
Name:CLOUD THERAPY CONSULTING INC
Entity type:Organization
Organization Name:CLOUD THERAPY CONSULTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SILPA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNDRU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-230-2782
Mailing Address - Street 1:13053 STARLING CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-3739
Mailing Address - Country:US
Mailing Address - Phone:571-230-2782
Mailing Address - Fax:
Practice Address - Street 1:12469 LEE JACKSON MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-2803
Practice Address - Country:US
Practice Address - Phone:571-230-2782
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-15
Last Update Date:2014-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty