Healthcare Provider Details
I. General information
NPI: 1265794242
Provider Name (Legal Business Name): TOTAL CARE THERAPY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/14/2012
Last Update Date: 06/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
943 CRANDON BLVD
KEY BISCAYNE FL
33149-2753
US
IV. Provider business mailing address
943 CRANDON BLVD
KEY BISCAYNE FL
33149-2753
US
V. Phone/Fax
- Phone: 305-365-6776
- Fax: 305-392-1750
- Phone: 305-365-6776
- Fax: 305-392-1750
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
SARA
JALLER
ZAYAS
Title or Position: PHYSICAL THERAPIST VICE PRES
Credential: RPT
Phone: 305-365-6776