Individual
MICHELLE ROSANA DEJESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7800 S RED RD STE 205, SOUTH MIAMI, FL 33143-5542
(305) 854-2471
Mailing address
5541 NW 112TH AVE APT 202, DORAL, FL 33178-4126
(352) 328-1373
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
19704
FL
Other
Enumeration date
01/18/2019
Last updated
11/19/2019
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