Individual
WILSIE LOUIDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2153 CORAL WAY, 602, CORAL GABLES, FL 33145-2631
(305) 856-1999
Mailing address
2153 CORAL WAY, 602, CORAL GABLES, FL 33145-2631
(305) 856-1999
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15600
FL
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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