Doctor Name: | TERI L OBRIEN |
NPI Number: | 1831460799 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PTA |
License Number: | 20311 |
Business Practice Address: | 4200 Washington St Hollywood, FL - 330217353 |
Business Phone Number: | 9549816300 |
Business Fax Number: | |
Mailing Address: | 650 Se 12th St, #203 DANIA |
State: | FL |
Postal Code: | 330045360 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/24/2012 |
NPI Last Update Date: | 01/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 20311 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |