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Organization
PREMA FOR KIDS CORP.
Active
Organization
PREMA FOR KIDS CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FABIANA MARTIN OTR (OCCUPATIONAL THERAPIST)
(786) 546-0403
Entity
Organization
Contact information
Practice address
1250 E HALLANDALE BEACH BLVD, SUITE 502, HALLANDALE BEACH, FL 33009-4634
(786) 546-0403
Mailing address
1250 E HALLANDALE BEACH BLVD, SUITE 502, HALLANDALE BEACH, FL 33009-4634
(786) 546-0403
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA 12311
FL
225X00000X
Occupational Therapist
Primary
OT 15207
FL
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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