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Individual

MRS. ANITA YVONNE ABUATHAREH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
9619 FONTAINEBLEAU BLVD APT 208, MIAMI, FL 33172-6869
(786) 488-6457
(786) 536-7188
Mailing address
11295 NW 7TH ST APT 5, MIAMI, FL 33172-6502
(786) 488-6457
(786) 536-7188

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 15015
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
290904
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY, INC.
FL
01
OT 15015
STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE
FL
Enumeration date
02/14/2012
Last updated
03/16/2017
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