Individual
STACY SYLVAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1131 NE 175TH ST, NORTH MIAMI BEACH, FL 33162-1238
(754) 207-2603
Mailing address
1131 NE 175TH ST, NORTH MIAMI BEACH, FL 33162-1238
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16706
FL
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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