Healthcare Provider Details

I. General information

NPI: 1255574604
Provider Name (Legal Business Name): PROFESSIONAL THERAPEUTIC CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2009
Last Update Date: 04/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 S CYPRESS RD APT 412
POMPANO BEACH FL
33060-7044
US

IV. Provider business mailing address

2680 NE 20TH ST
POMPANO BEACH FL
33062-3023
US

V. Phone/Fax

Practice location:
  • Phone: 954-899-1144
  • Fax:
Mailing address:
  • Phone: 954-899-1144
  • Fax:

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

VIII. Authorized Official

Name: MR. MICHAEL TRATHEN GEORGE TRATHEN
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: PT
Phone: 954-899-1144