Healthcare Provider Details

I. General information

NPI: 1477708063
Provider Name (Legal Business Name): ONE TO ONE PHYSICAL THERAPY & AQUATICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2008
Last Update Date: 11/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9970 CENTRAL PARK BLVD N STE 300
BOCA RATON FL
33428-2231
US

IV. Provider business mailing address

9970 CENTRAL PARK BLVD N STE 300
BOCA RATON FL
33428-2231
US

V. Phone/Fax

Practice location:
  • Phone: 561-939-2033
  • Fax: 561-939-2037
Mailing address:
  • Phone: 561-939-2033
  • Fax: 561-939-2037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DANIEL ERIC SAGE
Title or Position: CEO
Credential: MPT
Phone: 561-496-5144