Individual
SHAYANA MESTRE LICOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9595 FONTAINEBLEAU BLVD, APT 1702, MIAMI, FL 33172
(786) 868-7739
Mailing address
9595 FONTAINEBLEAU BLVD, APT 1702, MIAMI, FL 33172
(786) 868-7739
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19862
FL
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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