Individual
MIREMONDE JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L, CLT
Contact information
Practice address
1550 W CRAIG RD STE 210, NORTH LAS VEGAS, NV 89032-0329
(702) 360-9142
Mailing address
2611 NW 60TH WAY, SUNRISE, FL 33313-2230
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
20442
FL
225X00000X
Occupational Therapist
Primary
OT-2958
NV
Other
Enumeration date
01/16/2020
Last updated
05/27/2022
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