Healthcare Provider Details

I. General information

NPI: 1518052570
Provider Name (Legal Business Name): RHONDA F PRYLUCK OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 GLADES RD STE 380
BOCA RATON FL
33431-6469
US

IV. Provider business mailing address

7310 MARBELLA ECHO DR
DELRAY BEACH FL
33446-5618
US

V. Phone/Fax

Practice location:
  • Phone: 561-544-1666
  • Fax: 561-544-1665
Mailing address:
  • Phone: 561-637-2580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT10541
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: