Organization
AMERICAN THERAPY HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS HEATHER LYN RETSKE OT (OCCUPATIONAL THERAPIST)
(954) 608-9930
Entity
Organization
Contact information
Practice address
601 NW 96TH TER, PEMBROKE PINES, FL 33024-6232
(954) 608-9930
(954) 241-6726
Mailing address
601 NW 96TH TER, PEMBROKE PINES, FL 33024-6232
(954) 608-9930
(954) 241-6726
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
OT9537
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
888493500
—
FL
Enumeration date
06/15/2012
Last updated
06/15/2012
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