Provider Demographics
NPI:1336452804
Name:OPEN THERAPY CENTER
Entity Type:Organization
Organization Name:OPEN THERAPY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:PILOTO
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:305-454-2243
Mailing Address - Street 1:1750 W 39TH PL STE 1001
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7036
Mailing Address - Country:US
Mailing Address - Phone:305-454-2243
Mailing Address - Fax:
Practice Address - Street 1:1750 W 39TH PL STE 1001
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7036
Practice Address - Country:US
Practice Address - Phone:305-454-2243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty