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Individual

KAREN MARIA PRADO RUBI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
2500 SW 107TH AVE STE 39, MIAMI, FL 33165-2492
(786) 631-3129
(786) 703-5901
Mailing address
3992 SW 136TH AVE, MIAMI, FL 33175-3231
(305) 458-9839

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17564
FL

Other

Enumeration date
12/06/2019
Last updated
12/06/2019
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