Organization
ADVANCE THERAPY WORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUZ S FUENTES OTR/L (CLINICAL DIRECTOR, OTR/L)
(305) 378-5247
Entity
Organization
Contact information
Practice address
12060 SW 129TH CT, SUITE 107, MIAMI, FL 33186-4581
(305) 378-5247
(305) 378-6760
Mailing address
12060 SW 129TH CT, SUITE 107, MIAMI, FL 33186-4581
(305) 378-5247
(305) 378-6760
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ6924
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SZ6924
DEPT. OF HEALTH PROFESSIONAL LICENSE
FL
Enumeration date
10/30/2014
Last updated
10/30/2014
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