Individual
JAIME ANTONIO CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR-L
Contact information
Practice address
2685 EXECUTIVE PARK DR, SUITE 4, WESTON, FL 33331-3651
(954) 515-0892
(954) 349-0896
Mailing address
710 AMHERST AVE, DAVIE, FL 33325-3004
(305) 302-4242
(305) 349-0896
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT13392
FL
Other
Enumeration date
11/15/2008
Last updated
10/13/2011
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