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Individual

MRS. MIRANDA MARY MOLINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
7451 WILES RD, SUITE 203, CORAL SPRINGS, FL 33067-2040
(954) 840-0556
Mailing address
771 SIESTA KEY TRL, APT 1017, DEERFIELD BEACH, FL 33441-7778
(954) 629-5085

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 12513
FL

Other

Enumeration date
12/21/2012
Last updated
12/21/2012
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