Organization
K & M THERAPY SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYRENIA MAQUEIRA PTA (OWNER)
(386) 466-5625
Entity
Organization
Contact information
Practice address
8871 FONTAINEBLEAU BLVD APT 504, MIAMI, FL 33172-4468
(386) 466-5625
Mailing address
8871 FONTAINEBLEAU BLVD APT 504, MIAMI, FL 33172-4468
(386) 466-5625
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00
NA
—
Enumeration date
10/13/2018
Last updated
08/17/2019
Update your record
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