Provider Demographics
NPI:1487015509
Name:PALM BEACH THERAPY & FITNESS PROVIDERS, INC.
Entity Type:Organization
Organization Name:PALM BEACH THERAPY & FITNESS PROVIDERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:RIOLINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-676-1041
Mailing Address - Street 1:15682 CYPRESS PARK DR
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-6356
Mailing Address - Country:US
Mailing Address - Phone:561-676-1041
Mailing Address - Fax:561-370-7034
Practice Address - Street 1:15682 CYPRESS PARK DR
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-6356
Practice Address - Country:US
Practice Address - Phone:561-676-1041
Practice Address - Fax:561-370-7034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-17
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty