MEDICARE: AMT THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	14029	FL

General Provider Information

NPI Number	:	1265874952
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMT THERAPY LLC

Provider Business Mailing Address
First Line	:	335 COLLINS AVE APT 203
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-6912
Country	:	US
Telephone Number	:	305-842-7622
Fax Number	:

Provider Business Practice Location Address
First Line	:	335 COLLINS AVE APT 203
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-6912
Country	:	US
Telephone Number	:	305-842-7622
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST
Name	:	MS. ASIA TAYLOR
Credential	:
Telephone Number	:	305-842-7622

Provider Enumeration Date	:	07/23/2013
Last Update Date	:	07/23/2013

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