Organization
THERA READY, LLC
Active
Organization
THERA READY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANITA MACK (DIRECTOR OF OPERATIONS)
(310) 916-9423
Entity
Organization
Contact information
Practice address
7400 CENTER AVE, HUNTINGTON BEACH, CA 92647
(540) 931-9150
Mailing address
815 N LA BREA AVE, INGLEWOOD, CA 90302-2205
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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