Healthcare Provider Details

I. General information

NPI: 1679198964
Provider Name (Legal Business Name): RMM THERAPY AND REHABILITATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2020
Last Update Date: 06/11/2020
Certification Date: 06/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 ATLANTIC SHORES BLVD #309
HALLANDALE BEACH FL
33009
US

IV. Provider business mailing address

1350 ATLANTIC SHORES BLVD #309
HALLANDALE BEACH FL
33009
US

V. Phone/Fax

Practice location:
  • Phone: 786-253-8818
  • Fax:
Mailing address:
  • Phone: 786-253-8818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. ROSANNA MARIE GARCIA
Title or Position: MOTR/L, LMT, CLT
Credential: OCCUPATIONAL THERAPY
Phone: 786-253-8818