Fundamentals Pediatric Therapy Services, LLC
NPI #1164841607 in Miami Beach, Florida
Provider Information
- NPI Number
- 1164841607
- Entity Type
- Organization
- Organization Name
- Fundamentals Pediatric Therapy Services, LLC
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Apr 14, 2014
- Last Updated
- Apr 14, 2014
Practice Location
- Address
- 4140 N MERIDIAN AVE
- Address 2
- #1
- City
- Miami Beach
- State
- Florida
- ZIP Code
- 33140-3321
- Phone
- (347) 525-4839
Authorized Official
- Name
- TOVA FUND, MS, OTR/L
- Title
- MEMBER/MANAGER
- Phone
- (347) 525-4839
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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