Provider Demographics
NPI:1356606750
Name:LYMPHATIC SOLUTIONS & THERAPY, LLC
Entity type:Organization
Organization Name:LYMPHATIC SOLUTIONS & THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:PREVILON
Authorized Official - Suffix:
Authorized Official - Credentials:MHS, OTR/L, CLT-LANA
Authorized Official - Phone:305-331-9261
Mailing Address - Street 1:4700 SHERIDAN ST
Mailing Address - Street 2:SUITE J
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3420
Mailing Address - Country:US
Mailing Address - Phone:305-331-9261
Mailing Address - Fax:305-947-3146
Practice Address - Street 1:4700 SHERIDAN ST
Practice Address - Street 2:SUITE J
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3420
Practice Address - Country:US
Practice Address - Phone:305-331-9261
Practice Address - Fax:305-947-3146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-11
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT13174225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty