Healthcare Provider Details

I. General information

NPI: 1932081411
Provider Name (Legal Business Name): LA MONTANA Y LA ARDILLA LEARNING AND THERAPY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2025
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GLEN PARK WAY APT 1011
MIAMI FL
33125
US

IV. Provider business mailing address

1 GLEN PARK WAY APT 1011
MIAMI FL
33125
US

V. Phone/Fax

Practice location:
  • Phone: 786-865-4646
  • Fax:
Mailing address:
  • Phone: 786-865-4646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JUDITH DIAZ
Title or Position: PRESIDENT
Credential: OTA
Phone: 786-865-4646