Individual
PAULENA JOLICOEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
940 NE 158TH ST, NORTH MIAMI BEACH, FL 33162-5306
(786) 356-4207
Mailing address
940 NE 158TH ST, NORTH MIAMI BEACH, FL 33162-5306
(786) 356-4207
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11794
FL
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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