Provider Demographics
NPI:1851885347
Name:A&M THERAPY, INC
Entity type:Organization
Organization Name:A&M THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMADO
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:321-986-8812
Mailing Address - Street 1:1395 N COURTENAY PKWY STE 102
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32953-4474
Mailing Address - Country:US
Mailing Address - Phone:321-986-8812
Mailing Address - Fax:321-986-8814
Practice Address - Street 1:903 JORDAN BLASS DR STE 104
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-1325
Practice Address - Country:US
Practice Address - Phone:321-622-6508
Practice Address - Fax:321-622-6578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-18
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy