Organization
THE THERAPY ACADEMY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE OLSIN (SECRETARY/CFO)
(310) 428-7197
Entity
Organization
Contact information
Practice address
196 E HISTORIC HIGHWAY 66, GALLUP, NM 87301-6232
(505) 879-2213
Mailing address
196 E HISTORIC HIGHWAY 66, GALLUP, NM 87301-6232
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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