Organization
BOCA DEVELOPMENTAL THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA WEINE M.S. (CO-OWNER)
(312) 493-4641
Entity
Organization
Contact information
Practice address
9293 GLADES RD STE C, BOCA RATON, FL 33434-3905
(561) 367-3606
Mailing address
9293 GLADES RD STE C, BOCA RATON, FL 33434-3905
(561) 367-3606
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285153429
RACHEL KHALIFA
FL
Enumeration date
12/02/2024
Last updated
12/02/2024
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