Individual
MRS. MARICE PEREZ RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1710 SW 87TH CT, MIAMI, FL 33165-7837
(786) 389-9995
Mailing address
1710 SW 87TH CT, MIAMI, FL 33165-7837
(786) 389-9995
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18017
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18017
PROFESSIONAL LICENSE
FL
Enumeration date
03/29/2021
Last updated
03/29/2021
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