Individual
JOANNA VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
1550 S DIXIE HIGHWAY, SUITE 203, CORAL GABLES, FL 33146
(786) 536-9714
Mailing address
8670 NW 6TH LN, APT 211, MIAMI, FL 33126-6830
(786) 515-7882
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
SI 1943
FL
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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