Provider Demographics
NPI:1750936647
Name:GOOD QUALITY LIFE THERAPY CORP
Entity type:Organization
Organization Name:GOOD QUALITY LIFE THERAPY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MAYLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAYON
Authorized Official - Suffix:
Authorized Official - Credentials:COTA
Authorized Official - Phone:305-300-6936
Mailing Address - Street 1:9746 SW 184TH ST
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-6987
Mailing Address - Country:US
Mailing Address - Phone:305-300-6936
Mailing Address - Fax:
Practice Address - Street 1:9746 SW 184TH ST
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-6987
Practice Address - Country:US
Practice Address - Phone:305-300-6936
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-07
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty