Organization
RECREATIONAL THERAPEUTIC SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL JOHNSON (ADMINISTRATOR)
(786) 295-3619
Entity
Organization
Contact information
Practice address
14201 W SUNRISE BLVD, SUITE 208, SUNRISE, FL 33323-3207
(786) 391-8450
(954) 252-1954
Mailing address
11231 NW 27TH ST, PLANTATION, FL 33323-1865
(786) 391-8450
(954) 252-1954
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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