Provider Demographics
NPI:1831235258
Name:DEVELOPMENTAL THERAPY ASSOCIATES INC
Entity type:Organization
Organization Name:DEVELOPMENTAL THERAPY ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GOZZA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:561-691-4088
Mailing Address - Street 1:3345 BURNS RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4324
Mailing Address - Country:US
Mailing Address - Phone:561-691-4088
Mailing Address - Fax:561-691-1292
Practice Address - Street 1:3345 BURNS RD
Practice Address - Street 2:SUITE 301
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4324
Practice Address - Country:US
Practice Address - Phone:561-691-4088
Practice Address - Fax:561-691-1292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation