Individual
LILLIAN AMANDA CARMICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6001 SW 70TH ST APT 442, SOUTH MIAMI, FL 33143-3428
(305) 890-9691
Mailing address
2118 NW 89TH TER, MIAMI, FL 33147-3641
(786) 716-8663
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15689
FL
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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