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Organization
MABA THERAPY SERVICES, INC.
Active
Organization
MABA THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BANIA URBAY DIAZ PTA (PRESIDENT)
(786) 923-6326
Entity
Organization
Contact information
Practice address
16679 SW 80TH TER, MIAMI, FL 33193-5783
(786) 923-6326
Mailing address
16679 SW 80TH TER, MIAMI, FL 33193-5783
(786) 923-6326
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA14725
FL
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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