Individual
MR. AJITH SIMON ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2401 NE 2ND ST, POMPANO BEACH, FL 33062-4806
(954) 943-5100
Mailing address
7645 NW 19TH CT, PEMBROKE PINES, FL 33024-0921
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 9975
FL
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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