Individual
GRACE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
9400 SW 137TH AVE, MIAMI, FL 33186-1434
(305) 385-8290
Mailing address
9994 NW 5TH LN, MIAMI, FL 33172-4004
(786) 683-7633
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA9790
FL
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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