Organization
AMP PEDIATRIC THERAPY LLC
Active
Organization
AMP PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA MARIE PEREZ PT (OWNER)
(407) 970-0824
Entity
Organization
Contact information
Practice address
6900 TAVISTOCK LAKES BLVD STE 400, ORLANDO, FL 32827-7593
(407) 970-0824
(321) 235-5506
Mailing address
6900 TAVISTOCK LAKES BLVD STE 400, ORLANDO, FL 32827-7593
(407) 970-0824
(321) 235-5506
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
887718100
—
FL
Enumeration date
08/07/2014
Last updated
12/03/2020
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