Organization
FORMAR ENTERPRISES
Active
Other names
The Childrens Place
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE MARTINEZ OTR/L (OWNER)
(305) 859-9503
Entity
Organization
Contact information
Practice address
6850 CORAL WAY STE 204, MIAMI, FL 33155-1758
(305) 859-9503
Mailing address
6850 CORAL WAY STE 204, MIAMI, FL 33155-1758
(305) 859-9503
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/23/2010
Last updated
03/23/2010
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