Individual
MRS. VICTORIA AUTUMN FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
13563 SW 109TH PL, MIAMI, FL 33176-6000
(305) 251-3067
Mailing address
13563 SW 109TH PL, MIAMI, FL 33176-6000
(305) 251-3067
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT14007
FL
225XP0200X
Pediatric Occupational Therapist
Primary
OT14007
FL
Other
Enumeration date
05/09/2010
Last updated
05/09/2010
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