Individual
KEVIN TEJEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10200 NW 25TH ST # A-108, DORAL, FL 33172-5921
(786) 717-5649
Mailing address
10200 NW 25TH ST # A-108, DORAL, FL 33172-5921
(786) 717-5649
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT24596
FL
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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