Organization
THERAPEUTIC HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA AGATHA SHEPPARD OTRL (PRESIDENT)
(619) 398-6990
Entity
Organization
Contact information
Practice address
1337 BLUE SAGE WAY, CHULA VISTA, CA 91915-1616
(619) 398-6990
(619) 754-6907
Mailing address
1337 BLUE SAGE WAY, CHULA VISTA, CA 91915-1616
(619) 398-6990
(619) 754-6907
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
B20030226685
CA
Other
Enumeration date
05/25/2007
Last updated
06/20/2014
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