Organization
ACTIVE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARELIA CARRALERO (OWNER/PRESIDENT)
(305) 269-4880
Entity
Organization
Contact information
Practice address
5870 SW 8TH ST, SUITE # 6, WEST MIAMI, FL 33144-5052
(305) 269-4880
(305) 269-4881
Mailing address
5870 SW 8TH ST, SUITE # 6, WEST MIAMI, FL 33144-5052
(305) 269-4880
(305) 269-4881
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC8678
FL
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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