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Organization
THRIVE PLACE LP
Active
Organization
THRIVE PLACE LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TARA DERINGOR MPT (OWNER)
(412) 421-0310
Entity
Organization
Contact information
Practice address
4070 BEECHWOOD BLVD, UNIT 1, PITTSBURGH, PA 15217-2679
(412) 521-1067
(866) 902-6694
Mailing address
4070 BEECHWOOD BLVD, UNIT 1, PITTSBURGH, PA 15217-2679
(412) 521-1067
(866) 902-6694
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DN003841
PA
225X00000X
Occupational Therapist
Primary
OC006596L
PA
225X00000X
Occupational Therapist
OC011789
PA
235Z00000X
Speech-Language Pathologist
SL006089L
PA
235Z00000X
Speech-Language Pathologist
SL008282
PA
Other
Enumeration date
03/08/2010
Last updated
05/24/2011
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