Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XF0002X | Feeding, Eating & Swallowing | OT16264 | FL |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT16264 | FL |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT16264 | FL |
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT16264 | FL |
NPI | 1922425404 |
---|---|
Provider Name | Maria Fernanda Rincon |
First Address | Miramar, FL 33025-0790 |
Second Address | Miramar, FL 33025-0790 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2014 |
Last Update Date | 08/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010792900 | (05) | FL |