Individual
MRS. KEILA YAMICHA STILWELL-HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
151 NW 11TH ST STE W201, HOMESTEAD, FL 33030-4361
(786) 269-6117
Mailing address
27925 SW 165TH AVE, HOMESTEAD, FL 33031-2854
(386) 837-5405
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1532
TN
225X00000X
Occupational Therapist
Primary
16059
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033420088
—
FL
Enumeration date
06/24/2010
Last updated
07/21/2022
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