Organization
EXCEPTIONAL KIDZ REHAB ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSINA E LEVY OTR/L (PRESIDENT / ADMINISTRATOR)
(305) 310-3267
Entity
Organization
Contact information
Practice address
1414 NW 107TH AVE, STE 204, DORAL, FL 33172-2732
(305) 310-3267
Mailing address
1414 NW 107TH AVE, STE 204, DORAL, FL 33172-2732
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT3208
FL
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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