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Organization
PEDIATRIC THERAPY CENTER
Active
Organization
PEDIATRIC THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEYTAL LEONARD SLP (PRESIDENT)
(305) 866-1966
Entity
Organization
Contact information
Practice address
1166 KANE CONCOURSE STE 202, BAY HARBOR ISLANDS, FL 33154-2023
(305) 866-1966
(305) 866-1988
Mailing address
1166 KANE CONCOURSE STE 202, BAY HARBOR ISLANDS, FL 33154-2023
(305) 866-1966
(305) 866-1988
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA 11765
FL
225XP0200X
Pediatric Occupational Therapist
OT 9913
FL
2355S0801X
Speech-Language Assistant
SI 1989
FL
2355S0801X
Speech-Language Assistant
SI 2122
FL
2355S0801X
Speech-Language Assistant
SI2136
FL
235Z00000X
Speech-Language Pathologist
Primary
SA 9000
FL
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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