Organization
KIDS SPOT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE BOUCHEREAU-FISCHER PT (OWNER)
(954) 925-3844
Entity
Organization
Contact information
Practice address
1 OAKWOOD BLVD, 130, HOLLYWOOD, FL 33020-1956
(954) 925-3844
Mailing address
OAKWOOD BLVD, 130, HOLLYWOOD, FL 33020
(954) 925-3844
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
SI 2541
FL
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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