Healthcare Provider Details

I. General information

NPI: 1437456456
Provider Name (Legal Business Name): AR PHYSICAL THERAPY, CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2011
Last Update Date: 03/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6447 MIAMI LAKES DR E STE 205
MIAMI LAKES FL
33014-2741
US

IV. Provider business mailing address

6447 MIAMI LAKES DR E STE 205
MIAMI LAKES FL
33014-2741
US

V. Phone/Fax

Practice location:
  • Phone: 305-640-5739
  • Fax: 305-640-5739
Mailing address:
  • Phone: 305-640-5739
  • Fax: 305-640-5739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberMM26489
License Number StateFL

VIII. Authorized Official

Name: MR. ARMANDO M REYES
Title or Position: OWNER
Credential:
Phone: 786-333-2111