Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 0000969 | FL |
NPI | 1013172931 |
---|---|
Provider Name | Debra Pineda Misrahi |
First Address | Miami, FL 33176-3660 |
Second Address | Miami, FL 33176-3660 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2008 |
Last Update Date | 21/07/2008 |