Individual
JUNIETH MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
13420 SW 314TH ST STE 169, HOMESTEAD, FL 33033-5541
(305) 591-4181
(786) 800-3836
Mailing address
12275 NW 7TH ST, MIAMI, FL 33182-2007
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA18230
FL
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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