Individual
JANETH MARIE SAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3400 CORAL WAY, MIAMI, FL 33145-3053
(305) 856-1999
Mailing address
13741 SW 72ND TER, MIAMI, FL 33183-3119
(305) 878-1633
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16897
FL
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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