Organization
INFANT AND PEDIATRIC HOME THERAPY
Active
Organization
INFANT AND PEDIATRIC HOME THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE MARINO PARENTE P.T. (OWNER)
(954) 925-7034
Entity
Organization
Contact information
Practice address
550 S.E. 4TH CT, DANIA, FL 33004-0000
(954) 925-7034
(954) 925-7034
Mailing address
550 SE 4TH CT, DANIA, FL 33004-4738
(954) 925-7034
(954) 925-7034
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
PT 2678
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
810412301
—
FL
Enumeration date
08/15/2012
Last updated
08/15/2012
Update your record
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