Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 10165 | FL |
N | 225XG0600X | Occupational Therapist - Gerontology | 10165 | FL |
N | 225XM0800X | Mental Health | 10165 | FL |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 10165 | FL |
NPI | 1154797363 |
---|---|
Provider Name | Elaina Mccann- Brinson |
First Address | Miramar, FL 33025-7954 |
Second Address | Miramar, FL 33025-7954 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2015 |
Last Update Date | 12/08/2015 |