Individual
MERCEDES CARIDAD CARALLOL CORZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
454 NW 22ND AVE STE 108, MIAMI, FL 33125-3355
(305) 890-9691
(305) 647-6127
Mailing address
841 NW 35TH AVE, MIAMI, FL 33125-3808
(786) 366-6403
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16006
FL
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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