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Organization
SIDE BY SIDE THERAPY SERVICES
Active
Organization
SIDE BY SIDE THERAPY SERVICES
Active
Other names
Dynakidz
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL FISBOIN MS, OTR/L (OCCUPATIONAL THERAPIST, DIRECTOR)
(954) 458-5040
Entity
Organization
Contact information
Practice address
1117 E HALLANDALE BEACH BLVD, SUITE # 3, HALLANDALE BEACH, FL 33009-4488
(954) 458-5040
(954) 455-4421
Mailing address
1117 E HALLANDALE BEACH BLVD, SUITE # 3, HALLANDALE BEACH, FL 33009-4488
(954) 458-5040
(954) 455-4421
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 14051
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002792000
—
FL
Enumeration date
12/16/2014
Last updated
12/16/2014
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