Healthcare Provider Details

I. General information

NPI: 1679929632
Provider Name (Legal Business Name): SOMI THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2016
Last Update Date: 05/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6601 SW 80TH ST SUITE 107
SOUTH MIAMI FL
33143-4661
US

IV. Provider business mailing address

6601 SW 80TH ST SUITE 107
SOUTH MIAMI FL
33143-4661
US

V. Phone/Fax

Practice location:
  • Phone: 305-680-9707
  • Fax: 888-680-9708
Mailing address:
  • Phone: 305-680-9707
  • Fax: 888-680-9708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License NumberOT13177
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT11756
License Number StateFL

VIII. Authorized Official

Name: CHRISTINE BETANCOURT
Title or Position: OWNER / OCCUPATIONAL THERAPIST
Credential: OTR/L
Phone: 305-680-9707