Healthcare Provider Details

I. General information

NPI: 1215034582
Provider Name (Legal Business Name): ON-SITE THERAPY & EDUCATIONAL TRAINING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

941 N KROME AVE
HOMESTEAD FL
33030-4408
US

IV. Provider business mailing address

941 N KROME AVE
HOMESTEAD FL
33030-4408
US

V. Phone/Fax

Practice location:
  • Phone: 786-243-0275
  • Fax: 786-243-0276
Mailing address:
  • Phone: 786-243-0275
  • Fax: 786-243-0276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSA0005028
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA0005028
License Number StateFL

VIII. Authorized Official

Name: MRS. CLARA CANIZARES
Title or Position: OWNER/PRESIDENT
Credential: MS,CCC-SLP
Phone: 786-243-0275