Organization
ADVANCED MOBILE THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MABEL CHAVEZ PENA (PRESIDENT)
(786) 712-4283
Entity
Organization
Contact information
Practice address
101 GRAND CANAL DR, APT B, MIAMI, FL 33144-2507
(786) 712-4283
Mailing address
101 GRAND CANAL DR, APT B, MIAMI, FL 33144-2507
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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