Organization
IMPERIAL THERAPY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLGA M HERNANDEZ CEO (OWNER)
(305) 722-0787
Entity
Organization
Contact information
Practice address
2721 SW 137TH AVE, SUITE 101, MIAMI, FL 33175-6355
(305) 722-0787
(786) 237-0403
Mailing address
2721 SW 137TH AVE, SUITE 101, MIAMI, FL 33175-6355
(305) 722-0787
(786) 237-0403
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2006
Last updated
02/04/2008
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