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Organization
PHYSICAL THERAPY TIME
Active
Organization
PHYSICAL THERAPY TIME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUTH MARIA LORENZO BCBA (AUTHORIZED OFFICIAL)
(305) 720-0492
Entity
Organization
Contact information
Practice address
11100 SW 184TH ST, CUTLER BAY, FL 33157-6603
(305) 720-0492
Mailing address
11100 SW 184TH ST, CUTLER BAY, FL 33157-6603
(305) 720-0492
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
NULL
106S00000X
Behavior Technician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/01/2022
Last updated
06/05/2026
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