Healthcare Provider Details

I. General information

NPI: 1982944740
Provider Name (Legal Business Name): THERAPY SERVICES OF SFL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2013
Last Update Date: 02/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7005 NW 40TH CT
CORAL SPRINGS FL
33065-2211
US

IV. Provider business mailing address

7005 NW 40TH CT
CORAL SPRINGS FL
33065-2211
US

V. Phone/Fax

Practice location:
  • Phone: 954-914-9175
  • Fax: 954-575-3971
Mailing address:
  • Phone: 954-914-9175
  • Fax: 954-575-3971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberPT 17947
License Number StateFL

VIII. Authorized Official

Name: OLGA BOUDREAU
Title or Position: PRESIDENT
Credential: RPT
Phone: 954-914-9175