Provider Demographics
NPI:1750332334
Name:OCCUPATIONAL THERAPY SERVICES INC
Entity Type:Organization
Organization Name:OCCUPATIONAL THERAPY SERVICES INC
Other - Org Name:FLORIDA REHABILITATION AND PAIN CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:305-818-2213
Mailing Address - Street 1:1480 W 68TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33014-4527
Mailing Address - Country:US
Mailing Address - Phone:305-818-2213
Mailing Address - Fax:305-817-8548
Practice Address - Street 1:1480 W 68TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33014-4527
Practice Address - Country:US
Practice Address - Phone:305-818-2213
Practice Address - Fax:305-817-8548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK1842Medicare ID - Type UnspecifiedPROVIDER NUMBER
FLK1842Medicare PIN