Organization
LIFE THERAPY CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS A PI (PRESIDENT)
(305) 825-3666
Entity
Organization
Contact information
Practice address
900 W 49TH ST STE 505, HIALEAH, FL 33012-3488
(305) 331-2088
(305) 825-3663
Mailing address
900 W 49TH ST STE 505, HIALEAH, FL 33012-3488
(305) 331-2088
(305) 825-3663
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC8914
AHCA
FL
Enumeration date
08/18/2010
Last updated
10/25/2010
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