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Organization

FLORIDA KIDS THERAPY ASSOCIATES LLC

Active
Other names
Florida kids Therapy Associates LLC
Organization subpart
No

Provider details

NPI number
Authorized official
RAFAEL SIERRA (MANAGER)
(786) 732-0384
Entity
Organization

Contact information

Practice address
17037 S DIXIE HWY, PALMETTO BAY, FL 33157-4362
(786) 732-0384
(305) 767-1461
Mailing address
17037 S DIXIE HWY, PALMETTO BAY, FL 33157-4362
(786) 732-0384

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA12521
FL
2251P0200X
Pediatric Physical Therapist
PT26302
FL
225XP0200X
Pediatric Occupational Therapist
Primary
OT8077
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1366887341
FL
05
1831320126
FL
Enumeration date
06/19/2017
Last updated
07/21/2022
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