Individual
MS. YANNESI FABIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8500 SW 21ST ST, MIAMI, FL 33155-1031
(786) 266-5408
Mailing address
8500 SW 21ST ST, MIAMI, FL 33155-1031
(305) 266-5408
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15099
FL
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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