Individual
ANA IVIS COLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
5470 W 16TH AVE, HIALEAH, FL 33012-2105
(305) 456-2646
Mailing address
11441 SW 225TH ST, MIAMI, FL 33170-6439
(305) 613-2862
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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