Organization
DORAL THERAPY CLINIC, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEL MARIANNE BERDUGO OTR (OCCUPATIONAL THERAPIST)
(786) 486-0285
Entity
Organization
Contact information
Practice address
2614 NW 97TH AVE, DORAL, FL 33172-1413
(786) 486-0285
Mailing address
2614 NW 97TH AVE, DORAL, FL 33172-1413
(786) 486-0285
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
163W00000X
Registered Nurse
—
—
2085B0100X
Body Imaging Physician
—
—
208D00000X
General Practice Physician
—
—
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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