Individual
TERESA DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1000 WEST AVE, #1411, MIAMI BEACH, FL 33139-4759
(305) 778-9198
Mailing address
1570 NE 191ST ST, #133, MIAMI, FL 33179-4198
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA643
FL
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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