MEDICARE: HOOFS WITH HEARTS, 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	225X00000X	Occupational Therapist
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1316268964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOOFS WITH HEARTS, INC

Provider Business Mailing Address
First Line	:	1235 SW 3RD AVE
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33060-8731
Country	:	US
Telephone Number	:	954-592-6449
Fax Number	:

Provider Business Practice Location Address
First Line	:	1235 SW 3RD AVE
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33060-8731
Country	:	US
Telephone Number	:	954-592-6449
Fax Number	:	954-734-8610

Authorized Official
Title or Position	:	OWNER
Name	:	JENNIFER BROWN
Credential	:	MPT
Telephone Number	:	954-592-6449

Provider Enumeration Date	:	06/17/2010
Last Update Date	:	06/17/2010

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Directions to “HOOFS WITH HEARTS, INC ” Practice Location

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