Provider Demographics
NPI:1063613933
Name:AA THERAPY CENTER INC0RPORATED
Entity type:Organization
Organization Name:AA THERAPY CENTER INC0RPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MILTON
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL
Authorized Official - Phone:561-967-4441
Mailing Address - Street 1:5702 LAKE WORTH RD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-3269
Mailing Address - Country:US
Mailing Address - Phone:561-967-4441
Mailing Address - Fax:561-967-4405
Practice Address - Street 1:5702 LAKE WORTH RD
Practice Address - Street 2:SUITE 11
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-3269
Practice Address - Country:US
Practice Address - Phone:561-967-4441
Practice Address - Fax:561-967-4405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2008-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLZ8570A261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ8570AMedicare ID - Type Unspecified