Individual
TAIDEE VALDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 NW 29TH ST, MIAMI, FL 33142-6623
(305) 599-3021
Mailing address
1501 NW 29TH ST, MIAMI, FL 33142-6623
(305) 599-3021
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16996
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
03/15/2021
Last updated
03/15/2021
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