Individual
CARLOS RAFAEL MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
1201 W 61ST PL, HIALEAH, FL 33012-6314
(786) 326-2064
Mailing address
1201 W 61ST PL, HIALEAH, FL 33012-6314
(786) 326-2064
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14107
FL
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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