Organization
BOROLA INC
Active
Other names
Yogachi USA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD D COSOLA LICENSED/INSURED YOG (DIRECTOR)
(561) 282-7450
Entity
Organization
Contact information
Practice address
1985 CANTERBURY CIRCLE, WELLINGTON, FL 33414
(561) 282-7450
Mailing address
11924 FOREST HILL BLVD, #10A-281, WELLINGTON, FL 33414
(561) 282-7450
Taxonomy
Speciality
Code
Description
License number
State
224ZR0403X
Driving and Community Mobility Occupational Therapy Assistant
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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