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Organization
E&A ADVANCED THERAPY INC
Active
Organization
E&A ADVANCED THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIENA FERNANDEZ OTR./L (OCCUPATIONAL THERAPIST REGISTERED L)
(786) 348-1694
Entity
Organization
Contact information
Practice address
7684 SW 158TH AVE, MIAMI, FL 33193-2970
(786) 348-1694
Mailing address
7684 SW 158TH AVE, MIAMI, FL 33193-2970
(786) 348-1694
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019168600
—
FL
Enumeration date
09/12/2018
Last updated
09/11/2025
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