Organization
SUNSHINE THERAPY CLUB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARAYA J SHIRDAN (EXECUTIVE DIRECTOR)
(610) 853-9919
Entity
Organization
Contact information
Practice address
410 W TOWNSHIP LINE RD, SUITE 4, HAVERTOWN, PA 19083-5237
(610) 853-9919
(610) 853-9921
Mailing address
410 W TOWNSHIP LINE RD, SUITE 4, HAVERTOWN, PA 19083-5237
(610) 853-9919
(610) 853-9921
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000061970006
—
PA
Enumeration date
01/04/2008
Last updated
03/24/2016
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