Individual
MR. GIOVANNY AMAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
17670 NW 78TH AVE, #113, HIALEAH, FL 33015-3664
(305) 512-5757
Mailing address
17670 NW 78TH AVE, #113, HIALEAH, FL 33015-3664
(305) 512-5757
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11572
FL
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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