Provider Demographics
NPI:1861773988
Name:THERAPEUTIC APPLICATION PRACTICE
Entity type:Organization
Organization Name:THERAPEUTIC APPLICATION PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EMERSON
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-308-3403
Mailing Address - Street 1:681 HIOAKS RD STE I
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4074
Mailing Address - Country:US
Mailing Address - Phone:804-308-3403
Mailing Address - Fax:804-308-3362
Practice Address - Street 1:681 HIOAKS RD STE I
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-4074
Practice Address - Country:US
Practice Address - Phone:804-308-3403
Practice Address - Fax:804-308-3362
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WAR CHEST FINANCIAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-09-01
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health