Organization
EXCEPTIONAL REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSINA ELVIRA LEVY CHEVEREZ THERAPIST (OTR/L)
(305) 310-3267
Entity
Organization
Contact information
Practice address
3621 SW 107TH AVE, MIAMI, FL 33165-3636
(305) 223-0007
(305) 223-0008
Mailing address
3621 SW 107TH AVE, MIAMI, FL 33165-3636
(305) 223-0007
(305) 223-0008
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3208
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002596900
—
FL
Enumeration date
10/05/2011
Last updated
10/05/2011
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