Individual
MR. VIRGILIO SIERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOTR/L
Contact information
Practice address
3157 N UNIVERSITY DR, SUITE #103, PEMBROKE PINES, FL 33024-2258
(954) 442-9422
(954) 442-9150
Mailing address
1526 WHITE HALL DR, #406, DAVIE, FL 33324-6678
(954) 382-2178
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT11800
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8903255
—
FL
Enumeration date
10/10/2006
Last updated
07/08/2007
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