Organization
SUNSHINE THERAPY CLUB II, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARAYA SHIRDAN (DIRECTOR)
(610) 853-9919
Entity
Organization
Contact information
Practice address
410 W TOWNSHIP LINE RD, SUITE 4, HAVERTOWN, PA 19083-5237
(610) 853-9919
Mailing address
410 W TOWNSHIP LINE RD, SUITE 4, HAVERTOWN, PA 19083-5237
(610) 853-9919
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008092540004
—
PA
Enumeration date
02/22/2007
Last updated
03/02/2016
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