Individual
JAIME HERNANDEZ MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
6181 SERENE RUN, LAKE WORTH, FL 33467-6559
(561) 635-9611
(561) 433-1657
Mailing address
6181 SERENE RUN, LAKE WORTH, FL 33467-6559
(561) 635-9611
(561) 433-1657
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT5571
FL
Other
Enumeration date
01/01/2007
Last updated
07/08/2007
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