Healthcare Provider Details

I. General information

NPI: 1891065082
Provider Name (Legal Business Name): ADVANCED MANUAL THERAPIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2012
Last Update Date: 01/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 CRAWFORD BLVD SUITE 103
BOCA RATON FL
33432-3777
US

IV. Provider business mailing address

301 CRAWFORD BLVD SUITE 103
BOCA RATON FL
33432-3777
US

V. Phone/Fax

Practice location:
  • Phone: 954-648-8090
  • Fax:
Mailing address:
  • Phone: 954-648-8090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT17989
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA7945
License Number StateFL

VIII. Authorized Official

Name: MS. ELIZABETH ARIAS
Title or Position: PRESIDENT
Credential: P.T., L.M.T.
Phone: 954-648-8090