Individual
MS. AMY RUTH GUADALUPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
12595 SW 137TH AVE STE 303, MIAMI, FL 33186-4222
(786) 219-0151
Mailing address
12595 SW 137TH AVE STE 303, MIAMI, FL 33186-4222
(786) 219-0151
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
18812
FL
225XP0200X
Pediatric Occupational Therapist
Primary
18812
FL
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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