Provider Demographics
NPI:1336376938
Name:BOCA THERAPY INC
Entity type:Organization
Organization Name:BOCA THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOCH
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:561-495-7171
Mailing Address - Street 1:15200 S JOG RD STE B8
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-1246
Mailing Address - Country:US
Mailing Address - Phone:561-495-7171
Mailing Address - Fax:561-495-7138
Practice Address - Street 1:15200 S JOG RD STE B8
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-1246
Practice Address - Country:US
Practice Address - Phone:561-495-7171
Practice Address - Fax:561-495-7138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-22
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL24057225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty