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Organization
LISANDRA THERAPY INC
Active
Organization
LISANDRA THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIDELVIS ALVAREZ (PRESIDENT)
(786) 370-4375
Entity
Organization
Contact information
Practice address
6841 SW 129TH AVE APT 8, MIAMI, FL 33183-2464
(786) 370-4375
Mailing address
6841 SW 129TH AVE APT 8, MIAMI, FL 33183-2464
(786) 370-4375
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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