Provider Demographics
NPI:1740919885
Name:FIT IN THE BOX
Entity type:Organization
Organization Name:FIT IN THE BOX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BLOOME
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:561-558-3316
Mailing Address - Street 1:7539 DIAMOND POINTE CIR
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-3344
Mailing Address - Country:US
Mailing Address - Phone:561-558-3316
Mailing Address - Fax:
Practice Address - Street 1:7539 DIAMOND POINTE CIR
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-3344
Practice Address - Country:US
Practice Address - Phone:561-558-3316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy