MEDICARE: THERAPY OF THE PALM BEACHES 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	235Z00000X	Speech-Language Pathologist	SA 9112	FL

General Provider Information

NPI Number	:	1528369238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPY OF THE PALM BEACHES INC

Provider Business Mailing Address
First Line	:	631 GAZETTA WAY
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33413-1055
Country	:	US
Telephone Number	:	561-352-8071
Fax Number	:	561-753-8660

Provider Business Practice Location Address
First Line	:	631 GAZETTA WAY
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33413-1055
Country	:	US
Telephone Number	:	561-352-8071
Fax Number	:	561-753-8660

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	MRS. LORRAINE ALEXANDER
Credential	:	M.S. CCC-SLP
Telephone Number	:	561-352-8071

Provider Enumeration Date	:	11/11/2010
Last Update Date	:	06/24/2019

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Directions to “THERAPY OF THE PALM BEACHES INC ” Practice Location

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