Individual
MR. BILLY COVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
920 NE 199TH ST, MIAMI, FL 33179-3053
(305) 877-4841
Mailing address
920 NE 199TH ST, MIAMI, FL 33179-3053
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211379
TX
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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