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Organization
RENASCENCE THERAPY CENTER, INC
Active
Organization
RENASCENCE THERAPY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YORDANKA IBARRA PTA (PRESIDENT/OWNER)
(786) 328-9217
Entity
Organization
Contact information
Practice address
15291 NW 60TH AVE SUITE 100, MIAMI LAKES, FL 33014
(305) 549-8876
(305) 549-8877
Mailing address
15291 NW 60TH AVE SUITE 100, MIAMI LAKES, FL 33014
(305) 549-8876
(305) 549-8877
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/30/2012
Last updated
02/14/2019
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