Individual
MISS HELEANNA FANNY DA COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
454 NE 23RD ST APT 12A, MIAMI, FL 33137-4971
(786) 277-4707
Mailing address
454 NE 23RD ST APT 12A, MIAMI, FL 33137-4971
(786) 277-4707
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15870
FL
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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