Organization
THERAPEUTIC HEALTH AND HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP JOSEPH BIANCO WHITE MOT (OWNER/MEMBER)
(503) 888-8517
Entity
Organization
Contact information
Practice address
22502 SAMBAR LOOP, CHUGIAK, AK 99567-5377
(907) 762-4663
Mailing address
22502 SAMBAR LOOP, CHUGIAK, AK 99567-5377
(907) 762-4663
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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