Individual
KEREN MILENA LEIVA ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
454 NW 22ND AVE STE 108, MIAMI, FL 33125-3355
(305) 890-9691
Mailing address
5601 NW 1ST AVE APT 36, MIAMI, FL 33127-1659
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17618
FL
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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