Provider Demographics
NPI:1518466846
Name:PROFESSIONAL CARE THERAPY, INC
Entity Type:Organization
Organization Name:PROFESSIONAL CARE THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AHMEED
Authorized Official - Middle Name:ALEJANDRO
Authorized Official - Last Name:GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:786-332-3758
Mailing Address - Street 1:10300 SUNSET DR STE 482
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3022
Mailing Address - Country:US
Mailing Address - Phone:786-332-3758
Mailing Address - Fax:786-332-3914
Practice Address - Street 1:10300 SUNSET DR STE 482
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3022
Practice Address - Country:US
Practice Address - Phone:786-332-3758
Practice Address - Fax:786-332-3914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-01
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC11265225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty