Organization
DIMENSIONS ACHIEVEMENTS IN THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIRIAM LIBESKIND SPA (SPEECH-LANGUAGE PATHOLOGY ASSISTANT)
(305) 933-5887
Entity
Organization
Contact information
Practice address
20700 W DIXIE HWY, AVENTURA, FL 33180-1146
(305) 933-5887
Mailing address
5300 WASHINGTON ST, APPT G323, HOLLYWOOD, FL 33021-7750
(786) 488-9878
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
SL1211
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
883914000
—
FL
Enumeration date
07/24/2007
Last updated
07/24/2007
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