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Organization
PROFICIO THERAPY CENTER, INC.
Active
Organization
PROFICIO THERAPY CENTER, INC.
Active
Other names
Mii Amo Therapy Associates, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER MAY VAN GENT P.T. (DIRECTOR/ PRESIDENT)
(954) 376-1511
Entity
Organization
Contact information
Practice address
1040 WESTON RD STE 307, WESTON, FL 33326-1912
(954) 376-1511
(915) 773-4874
Mailing address
1040 WESTON RD STE 307, WESTON, FL 33326-1912
(954) 376-1511
(915) 773-4874
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 21147
FL
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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