Patience Brenya Agyeman
Individual provider Active NPI Developmental Therapist · Pompano Beach, FL
NPI 1790069839 · NPPES record last updated Oct 7, 2011
Key facts
- NPI
- 1790069839
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- License
- T61444000 (VA)
- Practice address
- 2708 NE 14TH St
Suite 5
Pompano Beach, FL 33062-3565 - Phone
- (888) 880-9270
- NPI assigned
- Oct 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T61444000 | VA | MD | Developmental Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | T61444000 | VA | Yes |
Addresses
Primary practice location
2708 NE 14TH St
Suite 5
Pompano Beach, FL 33062-3565
Mailing address
2804 Woodmark Dr Apt 301
Woodbridge, VA 22191-4727
Phone (703) 342-7003
Other providers in Pompano Beach, FL
- Manuel Afonso
- Agape Chiropractic Inc
- Ags Business Corp
- Elaine Aguirre
- Kaley Brooke Aguirre
- Aheb Gen-X PLLC
- Aimable Home Health Care
- Ruth Aime
- Akemo Medical Supply LLC
- Leila Alami
All providers in Pompano Beach, FL · Developmental Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.