Healthcare Provider Details

I. General information

NPI: 1396267407
Provider Name (Legal Business Name): OPR CHILDRENS THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4470 FEIVEL RD APT 34
WEST PALM BEACH FL
33417-7516
US

IV. Provider business mailing address

4470 FEIVEL RD APT 34
WEST PALM BEACH FL
33417-7516
US

V. Phone/Fax

Practice location:
  • Phone: 772-361-5455
  • Fax:
Mailing address:
  • Phone: 772-361-5455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA REBELO
Title or Position: PRESIDENT
Credential: SLP
Phone: 772-361-5455