Individual
KIRIAM CORDERO DELGADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
30054 SW 158TH CT, HOMESTEAD, FL 33033-3448
(954) 612-7771
Mailing address
7733 PARADISE ISLAND BLVD, JACKSONVILLE, FL 32256-3766
(787) 415-2783
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT19730
FL
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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