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Individual

GIANFRANCO CARRASCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA/L

Contact information

Practice address
20250 SW 155TH AVE, MIAMI, FL 33187-3801
(305) 766-1867
Mailing address
20250 SW 155TH AVE, MIAMI, FL 33187-3801

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16241
FL

Other

Enumeration date
08/15/2018
Last updated
08/15/2018
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