Provider Demographics
NPI:1396004289
Name:LOW VISION THERAPY SERVICES OF MIAMI BEACH
Entity Type:Organization
Organization Name:LOW VISION THERAPY SERVICES OF MIAMI BEACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:305-865-3111
Mailing Address - Street 1:5600 COLLINS AVE
Mailing Address - Street 2:APT 11P
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2411
Mailing Address - Country:US
Mailing Address - Phone:305-865-3111
Mailing Address - Fax:305-865-3111
Practice Address - Street 1:5600 COLLINS AVE
Practice Address - Street 2:APT 11P
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2411
Practice Address - Country:US
Practice Address - Phone:305-865-3111
Practice Address - Fax:305-865-3111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT10253225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty