Organization
ADVANCED CHILDREN'S THEPAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLYE RODRIGUEZ (PRESIDENT)
(561) 629-6882
Entity
Organization
Contact information
Practice address
2121 10TH AVE N, SUITE 2119, LAKE WORTH, FL 33461-3345
(561) 629-6882
Mailing address
2121 10TH AVE N, SUITE 2119, LAKE WORTH, FL 33461-3345
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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