Organization
DAZZLING KIDS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYLOREN MENDEZ (OWNER)
(305) 603-8105
Entity
Organization
Contact information
Practice address
8470 SW 8TH ST, MIAMI, FL 33144
(305) 603-8105
(305) 703-4951
Mailing address
8470 SW 8TH ST, MIAMI, FL 33144
(305) 603-8105
(305) 703-4951
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022555200
—
FL
Enumeration date
10/04/2017
Last updated
08/30/2022
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