Individual
JOSE LUIS LORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O.T.A
Contact information
Practice address
955 NW 3RD ST, MIAMI, FL 33128-1274
(786) 548-4020
Mailing address
11080 SW 52ND DR, MIAMI, FL 33165-6907
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11311
FL
Other
Enumeration date
12/21/2012
Last updated
12/21/2012
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