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Organization
MY HOPE THERAPEUTIC AGENCY, INC.
Active
Organization
MY HOPE THERAPEUTIC AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERTO J RIVERA (PRESIDENT)
(305) 251-2411
Entity
Organization
Contact information
Practice address
12039 SW 132ND CT, 28-1, MIAMI, FL 33186-4783
(305) 251-2411
(305) 251-2412
Mailing address
12039 SW 132ND CT, 28-1, MIAMI, FL 33186-4783
(305) 251-2411
(305) 251-2412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
227800000X
Certified Respiratory Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002540700
MEDICAID WAIVER
FL
Enumeration date
01/04/2011
Last updated
01/04/2011
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