Organization
DEVELOPMENTAL THERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BURCH MPT (OWNER)
(305) 967-0605
Entity
Organization
Contact information
Practice address
5901 SW 74TH ST, SUITE 400, MIAMI, FL 33143-5165
(305) 967-0605
Mailing address
8620 SW 184TH TER, CUTLER BAY, FL 33157-7236
(305) 967-0605
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT17800
FL
Other
Enumeration date
04/09/2011
Last updated
04/09/2011
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