Individual
MIKERLANDE MOISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5318 NW 93RD AVE, SUNRISE, FL 33351-7722
(954) 536-7394
Mailing address
13901 NE 3RD CT, NORTH MIAMI, FL 33161-2835
(305) 893-2288
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10873
FL
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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