MEDICARE: HOME THERAPY SERVICES,CORP

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	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1356635718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME THERAPY SERVICES,CORP

Provider Business Mailing Address
First Line	:	3505 S OCEAN DR
Second Line	:	SUITE 809
City	:	HOLLYWOOD
State	:	FL
Zip	:	33019-2831
Country	:	US
Telephone Number	:	954-529-4596
Fax Number	:	954-391-8746

Provider Business Practice Location Address
First Line	:	3505 S OCEAN DR
Second Line	:	SUITE 809
City	:	HOLLYWOOD
State	:	FL
Zip	:	33019-2831
Country	:	US
Telephone Number	:	954-529-4596
Fax Number	:	954-391-8746

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. ADRIANA G ROTA
Credential	:	L.M.T.
Telephone Number	:	954-529-4596

Provider Enumeration Date	:	06/02/2011
Last Update Date	:	06/02/2011

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