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Organization
THE CENTER FOR LYMPHATIC THERAPY
Active
Organization
THE CENTER FOR LYMPHATIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA A HERNANDEZ (OWNER/PRESIDENT)
(319) 855-8098
Entity
Organization
Contact information
Practice address
3901 NW 79TH AVE STE 122, DORAL, FL 33166-6554
(319) 855-8098
Mailing address
6500 SW 152ND PL, MIAMI, FL 33193-2159
(319) 855-8098
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16667
FL
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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