Individual
MISS KATIA DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS/OTR
Contact information
Practice address
4464 W 15TH AVE, HIALEAH, FL 33012-3358
(786) 512-3874
Mailing address
4464 W 15TH AVE, HIALEAH, FL 33012-3358
(786) 512-3874
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT13643
FL
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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