# MOBILE THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164667168
- **Authorized official:** AMIZADAY MARIE MERCADO LMT (VICE PRESIDENT)
- **Authorized official phone:** (954) 475-8445

## Contact information

- **Practice address:** 10741 NW 29TH CT, SUNRISE, FL 33322-1017
- **Practice address phone:** (954) 475-8445
- **Mailing address:** PO BOX 451828, SUNRISE, FL 33345-1828
- **Mailing address phone:** (954) 475-8445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | MA52668 | FL | Yes |

## Other

- **Enumeration date:** 12/05/2008
- **Last updated:** 12/05/2008