Individual
DANNALAE PALACIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6060 SW 109TH CT, MIAMI, FL 33173
(786) 260-5362
Mailing address
6060 SW 109TH CT, MIAMI, FL 33173-1158
(786) 260-5362
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-1615719
FL
225X00000X
Occupational Therapist
Primary
OTA16676
FL
Other
Enumeration date
05/26/2016
Last updated
11/05/2019
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