Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 224Z00000X | Occupational Therapy Assistant | ||
Y | 225X00000X | Occupational Therapist | OT14172 | FL |
NPI | 1013246396 |
---|---|
Provider Name | Joaly Tojeiro |
First Address | Miami, FL 33135-2312 |
Second Address | Miami, FL 33135-2312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2009 |
Last Update Date | 20/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
OTA 10347 | OCCUPATIONAL LICENSE (01) | FL |