Organization
DEVELOPMENTAL PEDIATRIC THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENNAY ROSE B.A. (DIRECTOR)
(786) 510-0286
Entity
Organization
Contact information
Practice address
7958 NW 18TH CT, PEMBROKE PINES, FL 33024-3676
(786) 510-0286
(561) 354-6031
Mailing address
9810 W HEATHER LN, MIRAMAR, FL 33025-2384
(786) 510-0286
(561) 354-6031
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/16/2014
Last updated
04/24/2014
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