Provider Demographics
NPI:1457065468
Name:KCT REHABILITATION SERVICES
Entity Type:Organization
Organization Name:KCT REHABILITATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TONISE
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOREXIL
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:561-455-6826
Mailing Address - Street 1:10130 NORTHLAKE BLVD STE 214-119
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33412-1101
Mailing Address - Country:US
Mailing Address - Phone:561-455-6826
Mailing Address - Fax:561-530-2053
Practice Address - Street 1:10130 NORTHLAKE BLVD STE 214-119
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33412-1101
Practice Address - Country:US
Practice Address - Phone:561-455-6826
Practice Address - Fax:561-530-2053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty