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
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