Individual
LIGIA FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
473 FAIRMONT LN, WESTON, FL 33326-3582
(305) 582-4149
Mailing address
473 FAIRMONT LN, WESTON, FL 33326-3582
(305) 582-4149
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12110
FL
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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