Organization
THERAPEUTIC ADVANTAGE INCORPORATED
Active
Other names
Therapeutic Advantage, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE IMPERIAL HOFFMAN OTRL (CEO)
(310) 327-9101
Entity
Organization
Contact information
Practice address
19191 S VERMONT AVE, SUITE 410, TORRANCE, CA 90502-1018
(310) 327-9101
(310) 327-6611
Mailing address
19191 S VERMONT AVE, SUITE 410, TORRANCE, CA 90502-1018
(310) 327-9101
(310) 327-6611
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
26393
CA
225X00000X
Occupational Therapist
6118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W16201
GROUP ID NUMBER
CA
Enumeration date
01/25/2007
Last updated
01/25/2008
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