Individual
HEIDA K MABIFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 222-5607
Mailing address
744 GEORGIA ST, DAYTONA BEACH, FL 32114-1411
(386) 222-5607
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
19824
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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