Organization
AG THERAPEUTIC SERVICES, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA BIBIANA GONZALEZ PT (PRESIDENT)
(786) 426-7570
Entity
Organization
Contact information
Practice address
11380 SW 113TH TER, MIAMI, FL 33176-3829
(786) 426-7570
(305) 742-2753
Mailing address
11380 SW 113TH TER, MIAMI, FL 33176-3829
(786) 426-7570
(305) 742-2753
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20342
FL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/10/2013
Last updated
06/20/2013
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