Healthcare Provider Details

I. General information

NPI: 1538989652
Provider Name (Legal Business Name): FIRST TIME LEARNERS PEDIATRIC THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2024
Last Update Date: 10/14/2024
Certification Date: 10/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

961 LYONS PARK DR
POMPANO BEACH FL
33060-8712
US

IV. Provider business mailing address

961 LYONS PARK DR
POMPANO BEACH FL
33060-8712
US

V. Phone/Fax

Practice location:
  • Phone: 954-330-8068
  • Fax:
Mailing address:
  • Phone: 954-330-8068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: TRISHA SUNDBERG
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTR/L
Phone: 954-330-8068