Organization
ADVANCED ARM DYNAMICS OF TEXAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MIGUELEZ CP, FAAOP (D) (PRESIDENT)
(310) 372-3050
Entity
Organization
Contact information
Practice address
3501 N MACARTHUR BLVD, SUITE 650, IRVING, TX 75062-3636
(214) 260-3197
(214) 260-8602
Mailing address
123 W TORRANCE BLVD, SUITE 203, REDONDO BEACH, CA 90277-3610
(310) 372-3050
(310) 372-3057
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
554860000
TX
335E00000X
Prosthetic/Orthotic Supplier
Primary
000119
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101220
STATE FACILITY LICENSE
TX
01
—
554860000
OCCUPATIONAL THERAPY
TX
Enumeration date
05/31/2005
Last updated
01/16/2025
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