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Organization
BIG BEAR THERAPY INSTITUTE
Active
Organization
BIG BEAR THERAPY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS YANCE (DIRECTOR)
(786) 602-0904
Entity
Organization
Contact information
Practice address
9035 SUNSET DR STE 102, MIAMI, FL 33173-3441
(786) 641-6858
Mailing address
9035 SUNSET DR STE 102, MIAMI, FL 33173-3441
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
04/26/2018
Last updated
04/26/2018
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