Individual
SERGIO ENRIQUE SANTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
5900 SW 150TH AVE, MIAMI, FL 33193-2753
(786) 368-7353
Mailing address
5900 SW 150TH AVE, MIAMI, FL 33193-2753
(786) 368-7353
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10856
FL
Other
Enumeration date
03/16/2013
Last updated
03/16/2013
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