Individual
JENNIFER SORONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3495 W 14TH AVE, HIALEAH, FL 33012-4705
(786) 715-0635
Mailing address
3495 W 14TH AVE, HIALEAH, FL 33012-4705
(786) 715-0635
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTA15703
FL
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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