Organization
FLORIDA MOVEMENT THERAPY CENTER-PLANTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI GRAY PT (CLINIC DIRECTOR)
(561) 510-7138
Entity
Organization
Contact information
Practice address
1825 N PINE ISLAND RD, PLANTATION, FL 33322-5207
(561) 510-7136
(561) 510-7152
Mailing address
12040 S JOG RD STE 7, BOYNTON BEACH, FL 33437-4164
(561) 510-7138
(561) 510-7152
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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