Provider Demographics
NPI:1982944740
Name:THERAPY SERVICES OF SFL INC
Entity Type:Organization
Organization Name:THERAPY SERVICES OF SFL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOUDREAU
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:954-914-9175
Mailing Address - Street 1:7005 NW 40TH CT
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-2211
Mailing Address - Country:US
Mailing Address - Phone:954-914-9175
Mailing Address - Fax:954-575-3971
Practice Address - Street 1:7005 NW 40TH CT
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-2211
Practice Address - Country:US
Practice Address - Phone:954-914-9175
Practice Address - Fax:954-575-3971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-15
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 17947251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health