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Organization
ADVANCED THERAPY INC.
Active
Organization
ADVANCED THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASTRID VILLALOBOS M,S (PRESIDENT)
(786) 622-7801
Entity
Organization
Contact information
Practice address
6741 SW 24TH ST, SUITE 59, MIAMI, FL 33155-1762
(786) 622-7801
(786) 536-2764
Mailing address
6741 SW 24TH ST, SUITE 59, MIAMI, FL 33155-1762
(786) 622-7801
(786) 536-2764
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA 12771
FL
261QR0400X
Rehabilitation Clinic/Center
Primary
SA12771
FL
Other
Enumeration date
12/12/2016
Last updated
06/19/2021
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