Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OTA18095 | FL |
NPI | 1023608841 |
---|---|
Provider Name | Maricarmen Silva |
First Address | Miami, FL 33196-1836 |
Second Address | Miami, FL 33196-1836 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2021 |
Last Update Date | 25/01/2021 |