Individual
MRS. JACQUELINE DALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9400 SW 137TH AVE, MIAMI, FL 33186-1434
(305) 781-2161
Mailing address
16216 SW 47TH ST, MIAMI, FL 33185-5158
(305) 781-2161
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10842
FL
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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