Organization
THERAPY HUT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARWYN GARIBAY BENEMERITO OTR/L (OWNER/ OCCUPATIONAL THERAPIST)
(901) 309-5219
Entity
Organization
Contact information
Practice address
895 WILLOW TREE CIR STE 100, CORDOVA, TN 38018-3107
(901) 309-5219
(901) 309-5265
Mailing address
895 WILLOW TREE CIR STE 100, CORDOVA, TN 38018-3107
(901) 309-5219
(901) 309-5265
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
3892
TN
225X00000X
Occupational Therapist
Primary
955
TN
235Z00000X
Speech-Language Pathologist
2379
TN
235Z00000X
Speech-Language Pathologist
3275
TN
235Z00000X
Speech-Language Pathologist
3278
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4285501
BCBS
TN
01
—
7813841
AETNA
TN
Enumeration date
04/26/2011
Last updated
08/25/2014
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