# THERAPEUTIC RECREATIONAL ACTIVITIES, LLC

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

## Provider details

- **NPI number:** 1760867410
- **Authorized official:** MR. ANTHONY FALDEN (AMBR)
- **Authorized official phone:** (954) 918-2164

## Contact information

- **Practice address:** 221 N 46TH AVE, HOLLYWOOD, FL 33021-6603
- **Practice address phone:** (954) 873-0962
- **Mailing address:** 12335 NW 51ST ST, CORAL SPRINGS, FL 33076-3446
- **Mailing address phone:** (954) 918-2164
- **Mailing address fax:** (954) 369-4742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | ARNP 2113432 | FL | Yes |

## Other

- **Enumeration date:** 07/23/2015
- **Last updated:** 12/30/2015