Provider Demographics
NPI:1336376938
Name:BOCA THERAPY INC
Entity Type:Organization
Organization Name:BOCA THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEKSANDAR
Authorized Official - Middle Name:
Authorized Official - Last Name:OBRENOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:561-495-7171
Mailing Address - Street 1:15300 JOG RD
Mailing Address - Street 2:SUITE B 8
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-2162
Mailing Address - Country:US
Mailing Address - Phone:561-495-7171
Mailing Address - Fax:561-495-7138
Practice Address - Street 1:15300 JOG RD
Practice Address - Street 2:SUITE B 8
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-2162
Practice Address - Country:US
Practice Address - Phone:561-495-7171
Practice Address - Fax:561-495-7138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-22
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL24057225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty