Healthcare Provider Details

I. General information

NPI: 1336185271
Provider Name (Legal Business Name): THERAPY PARTNERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 02/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29645 RANCHO CALIFORNIA RD STE 234
TEMECULA CA
92591-5211
US

IV. Provider business mailing address

29645 RANCHO CALIFORNIA RD STE 234
TEMECULA CA
92591-5211
US

V. Phone/Fax

Practice location:
  • Phone: 951-506-3001
  • Fax:
Mailing address:
  • Phone: 951-506-3001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number05-4559
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP57826
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberP13497
License Number StateCA

VIII. Authorized Official

Name: MR. PEDRO LUIS FLORES
Title or Position: ADMINISTRATOR
Credential: RCP, RRT
Phone: 951-696-4308