Individual
STAICA BARTHELEMY VITAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1007 GREEN PINE BLVD APT F1, WEST PALM BEACH, FL 33409-7017
(561) 273-3275
Mailing address
1007 GREEN PINE BLVD APT F1, WEST PALM BEACH, FL 33409-7017
(561) 273-3275
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15936
FL
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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