Organization
GREAT LEAPS OCCUPATIONAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AILEEN MEDEROS OT (OWNER)
(305) 793-9535
Entity
Organization
Contact information
Practice address
6704 SW 114TH PL APT B, MIAMI, FL 33173-4726
(305) 793-9535
Mailing address
6704 SW 114TH PL APT B, MIAMI, FL 33173-4726
(305) 793-9535
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT19310
FL
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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