Provider Demographics
NPI:1356624084
Name:ADVANCED ARM DYNAMICS OF TEXAS LLC
Entity type:Organization
Organization Name:ADVANCED ARM DYNAMICS OF TEXAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MIGUELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CP, FAAOP (D)
Authorized Official - Phone:310-372-3050
Mailing Address - Street 1:123 W TORRANCE BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-3614
Mailing Address - Country:US
Mailing Address - Phone:310-372-3050
Mailing Address - Fax:
Practice Address - Street 1:3501 N MACARTHUR BLVD
Practice Address - Street 2:SUITE 650
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-3651
Practice Address - Country:US
Practice Address - Phone:214-260-3197
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVANCED ARM DYNAMICS OF TEXAS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-09-20
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty