Healthcare Provider Details

I. General information

NPI: 1073936720
Provider Name (Legal Business Name): CAROL F FRATTI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2014
Last Update Date: 02/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1076 HARMONY WAY
ROYAL PALM BEACH FL
33411-3121
US

IV. Provider business mailing address

1076 HARMONY WAY
ROYAL PALM BEACH FL
33411-3121
US

V. Phone/Fax

Practice location:
  • Phone: 561-889-5237
  • Fax:
Mailing address:
  • Phone: 561-889-5237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: