Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT21705 | FL |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT21705 | FL |
N | 225XP0200X | Occupational Therapist - Pediatrics | OT21705 | FL |
NPI | 1679159701 |
---|---|
Provider Name | Young Barreirinhas |
First Address | Miami, FL 33196-3628 |
Second Address | Miami, FL 33196-3628 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2021 |
Last Update Date | 19/05/2021 |