Provider Demographics
NPI:1326247255
Name:DRC THERAPY SERVICES
Entity Type:Organization
Organization Name:DRC THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:561-281-0049
Mailing Address - Street 1:286 MULBERRY GROVE RD
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-4533
Mailing Address - Country:US
Mailing Address - Phone:561-281-0049
Mailing Address - Fax:561-784-5905
Practice Address - Street 1:286 MULBERRY GROVE RD
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-4533
Practice Address - Country:US
Practice Address - Phone:561-281-0049
Practice Address - Fax:561-784-5905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 12154251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health