Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT11017 | FL |
N | 225XH1200X | Occupational Therapist - Hand | OT11017 | FL |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT11017 | FL |
NPI | 1144332420 |
---|---|
Provider Name | Gyasi Azpeitia |
First Address | Miami, FL 33173-5460 |
Second Address | Miami, FL 33173-5460 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 20/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
889784100 | (05) | FL |