Individual
CARLOS OLAECHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9260 SW 72ND ST, SUITE 103, MIAMI, FL 33173-3275
(305) 554-8877
(305) 554-8006
Mailing address
9260 SW 72ND ST, SUITE 103, MIAMI, FL 33173-3275
(305) 554-8877
(305) 554-8006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6321
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y9006Z
MEDICARE
FL
Enumeration date
01/09/2006
Last updated
05/28/2013
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