Individual
MS. JAMILET FALS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
4545 SW 104TH AVE, MIAMI, FL 33165-5634
(305) 221-0284
Mailing address
4545 SW 104TH AVE, MIAMI, FL 33165-5634
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT12234
FL
Other
Enumeration date
07/17/2012
Last updated
01/08/2013
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