Individual
JUAN GABRIEL COLOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
9415 SUNSET DR STE 111, MIAMI, FL 33173-5492
(786) 507-8278
(844) 214-1486
Mailing address
2480 SW 27TH ST, MIAMI, FL 33133-2236
(305) 546-8028
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19204
FL
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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