Healthcare Provider Details

I. General information

NPI: 1033412804
Provider Name (Legal Business Name): SPEECH & OCCUPATIONAL THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2010
Last Update Date: 12/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20890 HIGHLAND LAKES BLVD
NORTH MIAMI BEACH FL
33179-1666
US

IV. Provider business mailing address

20890 HIGHLAND LAKES BLVD
NORTH MIAMI BEACH FL
33179-1666
US

V. Phone/Fax

Practice location:
  • Phone: 954-854-4733
  • Fax: 954-530-0143
Mailing address:
  • Phone: 954-854-4733
  • Fax: 954-530-0143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. ADRIANA MAGRINA
Title or Position: PRESIDENT
Credential: OTR/L
Phone: 954-854-4733