Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 925 | HI |
Y | 225X00000X | Occupational Therapist | 9874 | CA |
NPI | 1003044132 |
---|---|
Provider Name | David Calvo |
First Address | Miami, FL 33177-7413 |
Second Address | Miami, FL 33177-7413 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2009 |
Last Update Date | 26/06/2009 |