Individual
KIMBERLY A DANIELE-SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
92 SW 3RD ST APT 4302, MIAMI, FL 33130-3382
(305) 962-1919
Mailing address
14541 VISTA VERDI RD, DAVIE, FL 33325-6931
(305) 962-1919
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
15350
FL
225X00000X
Occupational Therapist
Primary
OTR23596
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTR23596
OTR
FL
Enumeration date
05/19/2018
Last updated
11/01/2022
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