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Organization
ADVANCED THERAPY AND TESTING
Active
Organization
ADVANCED THERAPY AND TESTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA GRACIA M.S., CCC-SLP (PRESIDENT)
(786) 232-1605
Entity
Organization
Contact information
Practice address
6001 NW 153RD ST STE 158, MIAMI LAKES, FL 33014-2447
(786) 232-1605
Mailing address
19443 SW 55TH ST, MIRAMAR, FL 33029-6277
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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