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Organization

THERAPRISE LLC

Active
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Organization

THERAPRISE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LEO DI GIACOMO (CHIEF FINANCIAL OFFICER)
(714) 371-4222
Entity
Organization

Contact information

Practice address
600 ANTON BLVD, SUITE 1100, COSTA MESA, CA 92626-7221
(714) 371-4222
Mailing address
600 ANTON BLVD, SUITE 1100, COSTA MESA, CA 92626-7221
(714) 371-4222

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP9198
CA

Other

Enumeration date
03/29/2010
Last updated
03/29/2010
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