Healthcare Provider Details
I. General information
NPI: 1518554757
Provider Name (Legal Business Name): ROCKSTEADY THERAPY & WELLNESS INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/22/2020
Last Update Date: 01/29/2021
Certification Date: 01/20/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11405 NW 48TH CT
CORAL SPRINGS FL
33076-2145
US
IV. Provider business mailing address
11405 NW 48TH CT
CORAL SPRINGS FL
33076-2145
US
V. Phone/Fax
- Phone: 954-812-4633
- Fax:
- Phone: 954-812-4633
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225400000X |
| Taxonomy | Rehabilitation Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 302R00000X |
| Taxonomy | Health Maintenance Organization |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
ALLAKEY
FRANCIS
Title or Position: PRESIDENT
Credential: OT/L
Phone: 954-812-4633