Organization
PULYTERAPIA SPA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH MOURINO MA (PRESIDENT)
(786) 970-2542
Entity
Organization
Contact information
Practice address
9369 FOUNTAINBLEAU BLVD APT J108, MIAMI, FL 33172-5629
(786) 970-2542
(786) 275-4132
Mailing address
9369 FOUNTAINBLEAU BLVD APT J108, MIAMI, FL 33172-5629
(786) 970-2542
(786) 275-4132
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
MA-65381
FL
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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