Angel Wings Therapy Center LLC
Speech-Language Pathologist, in Homestead, FL. Organization (NPI-2).
NPI number1124922166
StatusActive
Last updated in NPPESOct 5, 2026
Details
- NPI
- 1124922166
- Entity type
- Organization (NPI-2)
- Legal business name
- Angel Wings Therapy Center LLC
- Organization subpart
- No
- Enumeration date
- Oct 5, 2026
- Certification date
- Oct 5, 2026
- Last updated
- Oct 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
| 225100000X | Physical Therapist | – | – | |
| 225X00000X | Occupational Therapist | – | – |
Practice location
12364 Sw 266th TerHomestead, FL 33032-7974
Phone 786-865-4646
Mailing address
12364 Sw 266th TerHomestead, FL 33032-7974
Phone 786-865-4646
Authorized official
Osvaldo A Roche Lopez
Owner
7868654646
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