Organization
SPECTRUM THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYLER HARROLD (OFFICE MANAGER)
(954) 499-1125
Entity
Organization
Contact information
Practice address
11011 SHERIDAN ST, SUITE 302, COOPER CITY, FL 33026-1505
(954) 499-1125
(954) 499-1123
Mailing address
11011 SHERIDAN ST, SUITE 302, COOPER CITY, FL 33026-1505
(954) 499-1125
(954) 499-1123
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 11987
FL
225X00000X
Occupational Therapist
OT 9969
FL
225X00000X
Occupational Therapist
OT 9973
FL
225XP0200X
Pediatric Occupational Therapist
Primary
OT11299
FL
235Z00000X
Speech-Language Pathologist
SA 7231
FL
235Z00000X
Speech-Language Pathologist
SA 8125
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889816200
—
FL
Enumeration date
05/23/2006
Last updated
07/20/2007
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