Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT681 | FL |
N | 225XG0600X | Occupational Therapist - Gerontology | OT681 | FL |
NPI | 1043465511 |
---|---|
Provider Name | Teresita Terron |
First Address | Miami, FL 33176-2306 |
Second Address | Miami, FL 33176-2306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2008 |
Last Update Date | 24/11/2008 |