| Pediatric Therapist Group Inc | |
|
7844 Nw 200th St Hialeah FL 33015-6636 | |
| (786) 693-3100 | |
| Not Available |
| Full Name | Pediatric Therapist Group Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7844 Nw 200th St, Hialeah, Florida |
| Authorized Official Name and Position | Mirtha Cordero (PRESIDENT) |
| Authorized Official Contact | 7866933100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Therapist Group Inc 7844 Nw 200th St Hialeah FL 33015-6636 Ph: (786) 693-3100 | Pediatric Therapist Group Inc 7844 Nw 200th St Hialeah FL 33015-6636 Ph: (786) 693-3100 |
| NPI Number | 1336865195 |
|---|---|
| Provider Enumeration Date | 10/13/2022 |
| Last Update Date | 10/13/2022 |
| Certification Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336865195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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