Individual
MRS. MARY CHACON CONTRERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6921 NW 173RD DR APT 205, HIALEAH, FL 33015-5593
(603) 557-7656
Mailing address
6921 NW 173RD DR APT 205, HIALEAH, FL 33015-5593
(603) 557-7656
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12769
—
Other
Enumeration date
01/23/2014
Last updated
12/04/2014
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