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Individual

ALEXANDER IAN MACAISA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
9711 W OAKLAND PARK BLVD, SUNRISE, FL 33351-7013
(954) 572-4000
Mailing address
409 PALM CIR E, PEMBROKE PINES, FL 33025-1194
(786) 546-9605

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT21347
FL
225X00000X
Occupational Therapist

Other

Enumeration date
12/05/2020
Last updated
10/11/2024
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