Provider Demographics
NPI:1184471138
Name:DSA THERAPY & HEALTH SERVICES
Entity type:Organization
Organization Name:DSA THERAPY & HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:
Authorized Official - Last Name:SANOMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-465-4560
Mailing Address - Street 1:6820 W SUNRISE BLVD
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33313-4570
Mailing Address - Country:US
Mailing Address - Phone:954-465-4560
Mailing Address - Fax:
Practice Address - Street 1:6738 W SUNRISE BLVD STE 107
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33313-6070
Practice Address - Country:US
Practice Address - Phone:954-306-3914
Practice Address - Fax:754-332-2195
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DICKENS SANOMI CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist