Healthcare Provider Details

I. General information

NPI: 1891025490
Provider Name (Legal Business Name): THERAPY SPOT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2010
Last Update Date: 01/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 W. CAMINO REAL SUITE 201
BOCA RATON FL
33433-5510
US

IV. Provider business mailing address

7100 W. CAMINO REAL SUITE 201
BOCA RATON FL
33433-5510
US

V. Phone/Fax

Practice location:
  • Phone: 561-859-2100
  • Fax: 561-963-1623
Mailing address:
  • Phone: 561-859-2100
  • Fax: 561-963-1623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateFL

VIII. Authorized Official

Name: MS. MONICA M. WELLER
Title or Position: PEDIATRIC OCCUPATIONAL THERAPIST
Credential: M.S. OTR/L
Phone: 561-859-2100