| Rising Champs Pediatric Therapy | |
|
19101 Mystic Pointe Dr Apt 1509 Aventura FL 33180-4517 | |
| (215) 279-3434 | |
| Not Available |
| Full Name | Rising Champs Pediatric Therapy |
|---|---|
| Speciality | Clinic/center |
| Location | 19101 Mystic Pointe Dr Apt 1509, Aventura, Florida |
| Authorized Official Name and Position | Arianne Polatnick (OWNER) |
| Authorized Official Contact | 2152793434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Champs Pediatric Therapy 19101 Mystic Pointe Dr Apt 1509 Aventura FL 33180-4517 Ph: (215) 279-3434 | Rising Champs Pediatric Therapy 19101 Mystic Pointe Dr Apt 1509 Aventura FL 33180-4517 Ph: (215) 279-3434 |
| NPI Number | 1225775356 |
|---|---|
| Provider Enumeration Date | 05/19/2022 |
| Last Update Date | 04/17/2025 |
| Certification Date | 04/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225775356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | () | Secondary |
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