Healthcare Provider Details

I. General information

NPI: 1407164841
Provider Name (Legal Business Name): IN-HOME THERAPY OF CENTRAL FLORIDA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2010
Last Update Date: 07/31/2020
Certification Date: 07/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3721 S HWY 27 STE B
CLERMONT FL
34711-7919
US

IV. Provider business mailing address

614 E HWY 50 # 129
CLERMONT FL
34711-3164
US

V. Phone/Fax

Practice location:
  • Phone: 352-255-6130
  • Fax: 407-378-4154
Mailing address:
  • Phone: 352-255-6130
  • Fax: 407-378-4154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT5880
License Number StateFL

VIII. Authorized Official

Name: MS. MARY ANGELIE ALCALA GARAY
Title or Position: OWNER/PROVIDER
Credential: RPT
Phone: 352-255-6130