MEDICARE: FINED TUNED THERAPY SERVICES, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QD1600X	Developmental Disabilities Clinic/Center
2	261QR0400X	Rehabilitation Clinic/Center
3	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1760147383
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FINED TUNED THERAPY SERVICES, LLC

Provider Business Mailing Address
First Line	:	1741 NW 186TH ST
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-3310
Country	:	US
Telephone Number	:	786-277-2570
Fax Number	:

Provider Business Practice Location Address
First Line	:	1741 NW 186TH ST
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-3310
Country	:	US
Telephone Number	:	786-277-2570
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OCCUPATIONAL THERAPIST
Name	:	MS. CHAUNTE TRENISE MCCREA
Credential	:	OTR
Telephone Number	:	786-277-2570

Provider Enumeration Date	:	11/08/2021
Last Update Date	:	11/08/2021

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