Provider Demographics
NPI:1598189417
Name:SPEECH AND OCCUPATIONAL THERAPY INSTITUTE CORPORATION
Entity Type:Organization
Organization Name:SPEECH AND OCCUPATIONAL THERAPY INSTITUTE CORPORATION
Other - Org Name:MAGIC LEARNING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DEVELOPMENTAL SPECIALIST/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPO-HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-502-2843
Mailing Address - Street 1:9240 SUNSET DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3261
Mailing Address - Country:US
Mailing Address - Phone:786-502-2843
Mailing Address - Fax:786-548-4594
Practice Address - Street 1:9240 SUNSET DR
Practice Address - Street 2:SUITE 202
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3261
Practice Address - Country:US
Practice Address - Phone:786-502-2843
Practice Address - Fax:786-548-4594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-12
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty