Organization
WELLNESS THERAPEUTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YESENIA URRUTIA LMT (OWNER)
(305) 704-7910
Entity
Organization
Contact information
Practice address
5901 SW 74TH ST, SOUTH MIAMI, FL 33143-5165
(305) 704-7910
(786) 235-8920
Mailing address
15021 SW 180TH TER, MIAMI, FL 33187-6278
(305) 238-5931
(305) 238-5787
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
MA45849
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225700000X
MASSAGE THERAPIST
FL
Enumeration date
09/22/2010
Last updated
09/22/2010
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