MEDICARE: THERAPY ONE SOLUTION INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center
2	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)

General Provider Information

NPI Number	:	1285601138
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPY ONE SOLUTION INC

Provider Business Mailing Address
First Line	:	900 W 49TH ST
Second Line	:	STE 234
City	:	HIALEAH
State	:	FL
Zip	:	33012-3402
Country	:	US
Telephone Number	:	305-231-8339
Fax Number	:	305-231-8359

Provider Business Practice Location Address
First Line	:	900 W 49TH ST
Second Line	:	STE 234
City	:	HIALEAH
State	:	FL
Zip	:	33012-3402
Country	:	US
Telephone Number	:	305-231-8339
Fax Number	:	305-231-8359

Authorized Official
Title or Position	:	OWNER
Name	:	LIS I REAL
Credential	:
Telephone Number	:	305-231-8339

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	05/12/2009

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Directions to “THERAPY ONE SOLUTION INC ” Practice Location

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