Provider Demographics
NPI:1396007431
Name:MOVING FORWARD THERAPIES INC
Entity Type:Organization
Organization Name:MOVING FORWARD THERAPIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:ELOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-227-0021
Mailing Address - Street 1:7500 VIA GRANDE
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-7509
Mailing Address - Country:US
Mailing Address - Phone:252-227-0021
Mailing Address - Fax:561-423-3307
Practice Address - Street 1:7500 VIA GRANDE
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-7509
Practice Address - Country:US
Practice Address - Phone:252-227-0021
Practice Address - Fax:561-423-3307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-14
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency