Healthcare Provider Details

I. General information

NPI: 1730389164
Provider Name (Legal Business Name): DIMENSIONS ACHIEVEMENTS IN THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2007
Last Update Date: 07/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20700 W DIXIE HWY
AVENTURA FL
33180-1146
US

IV. Provider business mailing address

5300 WASHINGTON ST APPT G323
HOLLYWOOD FL
33021-7750
US

V. Phone/Fax

Practice location:
  • Phone: 305-933-5887
  • Fax:
Mailing address:
  • Phone: 786-488-9878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License NumberSL1211
License Number StateFL

VIII. Authorized Official

Name: MS. MIRIAM LIBESKIND
Title or Position: SPEECH-LANGUAGE PATHOLOGY ASSISTANT
Credential: SPA
Phone: 305-933-5887