Healthcare Provider Details

I. General information

NPI: 1073070892
Provider Name (Legal Business Name): ONE TO ONE REHABILITATION SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2019
Last Update Date: 02/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5812 S JOG RD
LAKE WORTH FL
33467-6511
US

IV. Provider business mailing address

13550 S JOG RD STE 100
DELRAY BEACH FL
33446-3808
US

V. Phone/Fax

Practice location:
  • Phone: 561-496-5144
  • Fax: 561-496-5201
Mailing address:
  • Phone: 561-496-5144
  • Fax: 561-496-5201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MONICA MORALES
Title or Position: VP OF ADMINISTRATIONS
Credential:
Phone: 561-496-5144