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Organization

123 SPECIAL CARE KIDS PPEC LLC

Active
Other names
123 Special Care Kids PPEC LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MARIANA TALARICO DE NOLASCO PT (MANAGER)
(305) 651-9311
Entity
Organization

Contact information

Practice address
3670 N 54TH AVE, HOLLYWOOD, FL 33021-2340
(305) 651-9311
Mailing address
3670 N 54TH AVE, HOLLYWOOD, FL 33021-2340
(786) 651-9311

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
05/10/2021
Last updated
05/13/2021
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