Individual
ALYSSA NICOLE KAMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
447 NW 73RD AVE, PLANTATION, FL 33317-1608
(954) 583-7383
Mailing address
447 NW 73RD AVE, PLANTATION, FL 33317-1608
(954) 583-7383
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 14552
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004136700
—
FL
01
—
OT 14552
STATE OF FLORIDA
FL
Enumeration date
08/31/2011
Last updated
05/25/2017
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