Organization
MOBILE THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIZADAY MARIE MERCADO LMT (VICE PRESIDENT)
(954) 475-8445
Entity
Organization
Contact information
Practice address
10741 NW 29TH CT, SUNRISE, FL 33322-1017
(954) 475-8445
Mailing address
PO BOX 451828, SUNRISE, FL 33345-1828
(954) 475-8445
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
MA52668
FL
Other
Enumeration date
12/05/2008
Last updated
12/05/2008
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