Provider Demographics
NPI:1700877974
Name:ANGEL CHILDREN'S THERAPIES
Entity Type:Organization
Organization Name:ANGEL CHILDREN'S THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:C
Authorized Official - Last Name:GUTIERREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC, SLP
Authorized Official - Phone:561-585-4881
Mailing Address - Street 1:2555 N DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33460-6250
Mailing Address - Country:US
Mailing Address - Phone:561-585-4881
Mailing Address - Fax:561-585-7452
Practice Address - Street 1:2555 N DIXIE HWY
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33460-6250
Practice Address - Country:US
Practice Address - Phone:561-585-4881
Practice Address - Fax:561-585-7452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty