Individual
LINA MARIA MANJARRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
14201 W SUNRISE BLVD STE 107, SUNRISE, FL 33323-3207
(954) 756-2818
Mailing address
501 SE 2ND ST APT 514, FORT LAUDERDALE, FL 33301-3672
(786) 603-3025
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16292
FL
Other
Enumeration date
01/11/2018
Last updated
06/17/2020
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