Individual
LEENA MATUQE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
633 SW 110TH LN, BLDG 21 APT 204, PEMBROKE PINES, FL 33025-7022
(786) 200-4644
Mailing address
633 SW 110TH LN, BLDG 21 APT 204, PEMBROKE PINES, FL 33025-7022
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 13731
FL
224Z00000X
Occupational Therapy Assistant
—
FL
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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