Individual
MRS. MELLY AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6760 W 5TH PL, HIALEAH, FL 33012-6619
(305) 972-4811
Mailing address
6760 W 5TH PL, HIALEAH, FL 33012-6619
(305) 972-4811
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA18126
FL
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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