Individual
MRS. JEANETTE CASANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
12608 SW 88TH ST, MIAMI, FL 33186-1867
(305) 412-4177
Mailing address
6141 SW 63RD AVE, SOUTH MIAMI, FL 33143-2141
(305) 663-8192
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT11948
FL
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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