Healthcare Provider Details

I. General information

NPI: 1912993130
Provider Name (Legal Business Name): ALLIED THERAPY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2005
Last Update Date: 04/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6447 MIAMI LAKES DR E STE 220
MIAMI LAKES FL
33014-2741
US

IV. Provider business mailing address

6447 MIAMI LAKES DR E STE 220
MIAMI LAKES FL
33014-2741
US

V. Phone/Fax

Practice location:
  • Phone: 305-828-5810
  • Fax: 305-828-5848
Mailing address:
  • Phone: 305-828-5810
  • Fax: 305-828-5848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YESENIA MALDONADO
Title or Position: PRESIDENT
Credential: COTA
Phone: 305-828-5810