Individual
ARIEL BALAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3750 W 16TH AVE STE 218, HIALEAH, FL 33012-4648
(305) 231-3371
Mailing address
3630 SW 104TH CT, MIAMI, FL 33165-3720
(786) 376-3624
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTA16262
FL
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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