Healthcare Provider Details

I. General information

NPI: 1225338395
Provider Name (Legal Business Name): ORIENTAL THERAPY CENTER L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2010
Last Update Date: 10/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8771 STIRLING RD
COOPER CITY FL
33328-5932
US

IV. Provider business mailing address

8771 STIRLING RD
COOPER CITY FL
33328-5932
US

V. Phone/Fax

Practice location:
  • Phone: 954-603-1311
  • Fax: 954-252-5199
Mailing address:
  • Phone: 954-603-1311
  • Fax: 954-252-5199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP2824
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License NumberMA42873
License Number StateFL

VIII. Authorized Official

Name: MRS. YANHUI CAI SINGER
Title or Position: MANAGER
Credential: MASSAGE THERAPIST
Phone: 954-603-1131