Individual
EMMANUELLE CHERENFANT LULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6931 W SUNRISE BLVD, PLANTATION, FL 33313-4406
(561) 260-0239
Mailing address
4451 NW 25TH ST, LAUDERHILL, FL 33313-3528
(561) 260-0239
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10870
FL
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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