Organization
ETHOS THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM VIDAL (PRESIDENT)
(305) 202-0232
Entity
Organization
Contact information
Practice address
4228 SW 134TH AVE, MIRAMAR, FL 33027
(305) 202-0232
(786) 513-7717
Mailing address
4228 SW 134TH AVE, MIRAMAR, FL 33027-3137
(305) 202-0232
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/27/2015
Last updated
06/19/2018
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