# FLORIDA MOVEMENT THERAPY CENTER-BOCA RATON, LLC

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

## Provider details

- **NPI number:** 1407118268
- **Authorized official:** JODI GRAY PT (VICE PRESIDENT)
- **Authorized official phone:** (561) 883-7800

## Contact information

- **Practice address:** 21065 POWERLINE RD, SUITE A2, BOCA RATON, FL 33433-2313
- **Practice address phone:** (561) 883-7800
- **Practice address fax:** (561) 883-7801
- **Mailing address:** 21065 POWERLINE RD, SUITE A2, BOCA RATON, FL 33433-2313
- **Mailing address phone:** (561) 883-7800
- **Mailing address fax:** (561) 883-7801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251G0304X | Geriatric Physical Therapist | PT3436 | FL | Yes |
| 225XN1300X | Neurorehabilitation Occupational Therapist | OT9734 | FL | — |
| 235Z00000X | Speech-Language Pathologist | SA5535 | FL | — |

## Other

- **Enumeration date:** 06/07/2012
- **Last updated:** 07/07/2016