Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OTA15651 | FL |
NPI | 1013453943 |
---|---|
Provider Name | Zulema De Paz |
First Address | Doral, FL 33166-4734 |
Second Address | Doral, FL 33166-4734 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2017 |
Last Update Date | 17/01/2017 |