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Organization

MY DEVELOPMENTAL THERAPY. INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ALEJANDRA GUTIERREZ (PRESIDENT)
(954) 470-0771
Entity
Organization

Contact information

Practice address
1011 FAIRFIELD MEADOWS DR, WESTON, FL 33327-1822
(954) 470-0771
Mailing address
1011 FAIRFIELD MEADOWS DR, WESTON, FL 33327-1822
(954) 470-0771

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
05/18/2021
Last updated
12/03/2021
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