Organization
INTEGRATION OT IN PEDIATRICS
Active
Organization
INTEGRATION OT IN PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCELLE HORN-MANDIOLA OTR (OCCUPATIONAL THERAPIST)
(786) 510-0814
Entity
Organization
Contact information
Practice address
701 BRICKELL KEY BLVD, 1607, MIAMI, FL 33131-2674
(786) 510-0814
(305) 359-9261
Mailing address
701 BRICKELL KEY BLVD, 1607, MIAMI, FL 33131-2674
(786) 510-0814
(305) 359-9261
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4403
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004591600
—
FL
Enumeration date
03/26/2014
Last updated
03/26/2014
Update your record
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