MEDICARE: ALLIED THERAPY SERVICES INC

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	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1912993130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIED THERAPY SERVICES INC

Provider Business Mailing Address
First Line	:	6447 MIAMI LAKES DR E
Second Line	:	STE 220
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-2741
Country	:	US
Telephone Number	:	305-828-5810
Fax Number	:	305-828-5848

Provider Business Practice Location Address
First Line	:	6447 MIAMI LAKES DR E
Second Line	:	STE 220
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-2741
Country	:	US
Telephone Number	:	305-828-5810
Fax Number	:	305-828-5848

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YESENIA MALDONADO
Credential	:	COTA
Telephone Number	:	305-828-5810

Provider Enumeration Date	:	09/22/2005
Last Update Date	:	04/11/2008

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