Provider Demographics
NPI:1134974876
Name:REHAVEN THERAPY CORP
Entity type:Organization
Organization Name:REHAVEN THERAPY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ISABEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:CANTOR
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:786-291-5926
Mailing Address - Street 1:155 SUNSET WAY
Mailing Address - Street 2:
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-5153
Mailing Address - Country:US
Mailing Address - Phone:786-291-5926
Mailing Address - Fax:
Practice Address - Street 1:155 SUNSET WAY
Practice Address - Street 2:
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-5153
Practice Address - Country:US
Practice Address - Phone:786-291-5926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty