Provider Demographics
NPI:1790758027
Name:AT HOME THERAPY FOR YOU
Entity Type:Organization
Organization Name:AT HOME THERAPY FOR YOU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:H
Authorized Official - Last Name:BLOYER
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:954-447-0051
Mailing Address - Street 1:16237 SW 15TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-5128
Mailing Address - Country:US
Mailing Address - Phone:954-447-0051
Mailing Address - Fax:
Practice Address - Street 1:16237 SW 15TH ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027-5128
Practice Address - Country:US
Practice Address - Phone:954-447-0051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty