Individual
TARIQ AZEEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
4301 S FLAMINGO ROAD #101, DAVIE, FL 33330
(954) 312-3449
Mailing address
4301 S FLAMINGO ROAD #101, DAVIE, FL 33330
(954) 312-3449
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14957
FL
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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