Individual
YESENIA LOZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7682 NW 167TH ST, HIALEAH, FL 33015-4154
(786) 412-4381
Mailing address
7682 NW 167TH ST, HIALEAH, FL 33015-4154
(786) 412-4381
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13718
FL
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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