Organization
AMERICAN THERAPY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALIUVY ACOSTA (PRESIDENT)
(305) 225-9635
Entity
Organization
Contact information
Practice address
11398 W FLAGLER ST, STE 205, MIAMI, FL 33174-4213
(305) 225-9635
Mailing address
11398 W FLAGLER ST, STE 205, MIAMI, FL 33174-4213
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MA63681
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA63681
THERAPY LICENSE
FL
Enumeration date
09/28/2011
Last updated
09/28/2011
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