Organization
AG SPECIAL THERAPY SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA BIBIANA GNOZALEZ PT (PHYSICAL THERAPIST/OWNER)
(786) 426-7570
Entity
Organization
Contact information
Practice address
12670 SW 93 PLACE, MIAMI, FL 33176
(786) 426-7570
Mailing address
12670 SW 93RD PL, MIAMI, FL 33176-5041
(786) 426-7570
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20342
FL
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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