Organization
ARISE AND THRIVE THERAPY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TYHISHA PADEN FASHIPE OTR (OCCUPATIONAL THERAPIST/OWNER)
(908) 265-2688
Entity
Organization
Contact information
Practice address
10920 COVINGTON BY PASS RD APT 504, COVINGTON, GA 30014-3828
(908) 265-2688
Mailing address
PO BOX 362, COVINGTON, GA 30015-0362
(908) 265-2688
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
03/19/2020
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