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NPI Code Detail

MEDICARE: THERAPY SPECIALIST SERVICES INC

MEDICARE: THERAPY SPECIALIST SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist
2225X00000XOccupational Therapist
3235Z00000XSpeech-Language Pathologist
4225700000XMassage TherapistMA39568FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11619282381OTHERFLNPI

General Provider Information

NPI Number : 1477837920
Entity Type Code : Organization
Provider Name (Legal Business Name) : THERAPY SPECIALIST SERVICES INC
Provider Business Mailing Address
First Line : 18951 SW 106TH AVE
Second Line : SUITE 110
City : CUTLER BAY
State : FL
Zip : 33157-7668
Country : US
Telephone Number : 305-233-4448
Fax Number :
Provider Business Practice Location Address
First Line : 18951 SW 106TH AVE
Second Line : SUITE 110
City : CUTLER BAY
State : FL
Zip : 33157-7668
Country : US
Telephone Number : 305-233-4448
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : RAMONA SUSANA MATOS
Credential :
Telephone Number : 305-233-4448
Provider Enumeration Date : 10/03/2011
Last Update Date : 10/03/2011

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1629312129 — MS. KATHERINE GUNDERMAN CAMINO M.S., SLP
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1639557960 — MARILYN EUSTACHE
Practice Location Address:
18951 SW 106TH AVE
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Directions to “THERAPY SPECIALIST SERVICES INC ” Practice Location

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