Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT21639 | FL |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT21639 | FL |
NPI | 1083387773 |
---|---|
Provider Name | Mrs. Daniella Patricia Bendixen |
First Address | Miami, FL 33156-7958 |
Second Address | Coconut Grove, FL 33133-2764 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2021 |
Last Update Date | 28/07/2021 |