OrganizationActive
Spark of Life Therapy LLC
NPI 1386465953 · Occupational Therapist · Hollywood, FL
Provider details
- NPI number
- 1386465953
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Miraidys Hidalgo, Slpa(954) 477-1486
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapy Assistant224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Assistant2355S0801X
Speech, Language and Hearing Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Practice location
6781 Scott St
Hollywood, FL 33024-3936
Phone: (954) 477-1486
Approximate (ZIP-level) locationGet directions
Mailing address
6781 Scott St
Hollywood, FL 33024-3936
Registry dates
- Enumerated
- 2024-10-17
- Last updated
- 2024-10-17
- Certified
- 2024-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.