Healthcare Provider Details

I. General information

NPI: 1760953046
Provider Name (Legal Business Name): AHSYA DEVOCHT-PATEL DPT, PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2018
Last Update Date: 12/11/2020
Certification Date: 07/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7015 BERACASA WAY STE 102
BOCA RATON FL
33433-3453
US

IV. Provider business mailing address

PO BOX 8396
DELRAY BEACH FL
33482-8396
US

V. Phone/Fax

Practice location:
  • Phone: 561-939-2033
  • Fax: 561-939-2037
Mailing address:
  • Phone: 561-496-5144
  • Fax: 561-496-5201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT32902
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: