Individual
LEYDIS FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2301 W 60TH ST APT 211, HIALEAH, FL 33016-4416
(786) 403-1774
Mailing address
2301 W 60TH ST APT 211, HIALEAH, FL 33016-4416
(786) 403-1774
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19132
FL
Other
Enumeration date
08/31/2022
Last updated
08/05/2025
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