=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760640965
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALL IN ONE THERAPY INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/26/2008
-----------------------------------------------------
Last Update Date | 05/26/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 19749 NW 79TH AVE
-----------------------------------------------------
City | HIALEAH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33015-6372
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-282-5353
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 19749 NW 79TH AVE
-----------------------------------------------------
City | HIALEAH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33015-6372
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-282-5353
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | PROF. ZEYDA CARRATALA I
-----------------------------------------------------
Credential | OTR/L
-----------------------------------------------------
Telephone | 305-282-5353
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | OT12209
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------