Individual
LUISA FERNANDA ALZATE COBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12715 SW 136TH ST APT 2111, MIAMI, FL 33186-5279
(201) 918-7078
Mailing address
12715 SW 136TH ST APT 2111, MIAMI, FL 33186-5279
(201) 918-7078
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA18775
FL
Other
Enumeration date
01/03/2019
Last updated
03/08/2022
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