Healthcare Provider Details

I. General information

NPI: 1356715270
Provider Name (Legal Business Name): ONE TO ONE DIAGNOSTIC SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2015
Last Update Date: 11/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13550 JOG RD SUITE 100
DELRAY BEACH FL
33446-3808
US

IV. Provider business mailing address

13550 JOG RD SUITE 100
DELRAY BEACH FL
33446-3808
US

V. Phone/Fax

Practice location:
  • Phone: 561-496-5144
  • Fax:
Mailing address:
  • Phone: 561-496-5144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DANIEL SAGE
Title or Position: CEO
Credential:
Phone: 561-496-5144