Individual
KELLY PUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12401 SW 134TH CT STE 7, MIAMI, FL 33186-6414
(305) 964-7427
Mailing address
10401 NW 82ND ST UNIT 4, DORAL, FL 33178-4085
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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