Provider Demographics
NPI:1629521679
Name:HEAD TO TOE POSTURE & REHAB CENTER
Entity Type:Organization
Organization Name:HEAD TO TOE POSTURE & REHAB CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-372-7795
Mailing Address - Street 1:10063 CLEARY BLVD
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324
Mailing Address - Country:US
Mailing Address - Phone:954-372-7795
Mailing Address - Fax:
Practice Address - Street 1:6855 W BROWARD BLVD
Practice Address - Street 2:#110
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-3069
Practice Address - Country:US
Practice Address - Phone:954-372-7795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10191111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty