Organization
DANIEL BOLEA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SCOTT BOLEA OT (OCCUPATIONAL THERAPIST)
(305) 951-7763
Entity
Organization
Contact information
Practice address
13343 SW 103 PLACE, MIAMI, FL 33176
(305) 951-7763
Mailing address
13343 SW 103 PLACE, MIAMI, FL 33176
(305) 951-7763
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
OT 16878
FL
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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