Organization
CHILDREN'S THERAPY AT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVER FLORES (MANAGER)
(727) 452-6675
Entity
Organization
Contact information
Practice address
7775 MOKENA CT, NEW PORT RICHEY, FL 34654-5647
(727) 452-6675
(727) 815-8891
Mailing address
7775 MOKENA CT, NEW PORT RICHEY, FL 34654-5647
(727) 452-6675
(727) 815-8891
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
12107
FL
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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