Healthcare Provider Details

I. General information

NPI: 1336103175
Provider Name (Legal Business Name): EASTER SEALS OF BROWARD COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6951 W SUNRISE BLVD
PLANTATION FL
33313-4406
US

IV. Provider business mailing address

6951 W SUNRISE BLVD
PLANTATION FL
33313-4406
US

V. Phone/Fax

Practice location:
  • Phone: 954-792-8772
  • Fax: 954-327-8997
Mailing address:
  • Phone: 954-792-8772
  • Fax: 954-327-8997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: SUSAN ARMIGER
Title or Position: CEO
Credential:
Phone: 954-792-8772