Healthcare Provider Details

I. General information

NPI: 1760147383
Provider Name (Legal Business Name): FINED TUNED THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2021
Last Update Date: 11/08/2021
Certification Date: 11/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1741 NW 186TH ST
MIAMI GARDENS FL
33056-3310
US

IV. Provider business mailing address

1741 NW 186TH ST
MIAMI GARDENS FL
33056-3310
US

V. Phone/Fax

Practice location:
  • Phone: 786-277-2570
  • Fax:
Mailing address:
  • Phone: 786-277-2570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: MS. CHAUNTE TRENISE MCCREA
Title or Position: OWNER/OCCUPATIONAL THERAPIST
Credential: OTR
Phone: 786-277-2570