Individual
KERVIN CADICHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1728 PIERCE ST, 4, HOLLYWOOD, FL 33020-4698
(718) 669-2701
Mailing address
1728 PIERCE ST, 4, HOLLYWOOD, FL 33020-4698
(718) 669-2701
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13052
FL
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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