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NPI Code Detail

MEDICARE: INFANT AND PEDIATRIC HOME THERAPY, INC.

MEDICARE: INFANT AND PEDIATRIC HOME THERAPY, 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
1225X00000XOccupational Therapist
2235Z00000XSpeech-Language Pathologist
3225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386701332
Entity Type Code : Organization
Provider Name (Legal Business Name) : INFANT AND PEDIATRIC HOME THERAPY, INC.
Provider Business Mailing Address
First Line : 550 SE 4TH CT
Second Line :
City : DANIA BEACH
State : FL
Zip : 33004-4738
Country : US
Telephone Number : 954-925-7034
Fax Number : 954-925-7034
Provider Business Practice Location Address
First Line : 550 SE 4TH CT
Second Line :
City : DANIA BEACH
State : FL
Zip : 33004-4738
Country : US
Telephone Number : 954-925-7034
Fax Number : 954-925-7034
Authorized Official
Title or Position : OWNER, PEDIATRIC P.T.
Name : MRS. MICHELLE JOANNE PARENTE
Credential : P.T.
Telephone Number : 954-925-7034
Provider Enumeration Date : 01/02/2007
Last Update Date : 03/11/2011

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Directions to “INFANT AND PEDIATRIC HOME THERAPY, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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