Organization
GYASI AZPEITIA, OTR/L, P.A.
Active
Other names
Liv Active Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GYASI AZPEITIA OTR/L (OWNER)
(786) 332-2672
Entity
Organization
Contact information
Practice address
9495 SW 72ND ST # B120, MIAMI, FL 33173-3253
(786) 332-2672
(786) 369-7054
Mailing address
10610 SW 148TH AVENUE DR, MIAMI, FL 33196-2453
(786) 346-6841
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OT11017
FL
261Q00000X
Clinic/Center
Primary
—
FL
261QM1300X
Multi-Specialty Clinic/Center
OT11017
FL
261QR0400X
Rehabilitation Clinic/Center
OT11017
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025097100
—
FL
01
—
1144332420
NPPES
FL
Enumeration date
09/14/2016
Last updated
05/01/2023
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