# DTW1 LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639652852
- **Authorized official:** KELSEY ZAMOYSKI OT (OWNER/THERAPIST)
- **Authorized official phone:** (786) 955-6912

## Contact information

- **Practice address:** 15807 BISCAYNE BLVD STE 113, AVENTURA, FL 33160-4669
- **Practice address phone:** (178) 695-5691
- **Practice address fax:** (786) 955-6956
- **Mailing address:** 15807 BISCAYNE BLVD STE 113, AVENTURA, FL 33160-4669
- **Mailing address phone:** (178) 695-5691
- **Mailing address fax:** (786) 955-6956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/13/2018
- **Last updated:** 09/13/2018