Individual
JONATHAN BURK CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
14608 SW 143RD PLACE CIR, MIAMI, FL 33186-5670
(954) 540-4601
Mailing address
14608 SW 143RD PLACE CIR, MIAMI, FL 33186-5670
(954) 540-4601
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OT12483
FL
225X00000X
Occupational Therapist
Primary
OT12483
FL
225XH1200X
Hand Occupational Therapist
OT12483
FL
Other
Enumeration date
01/12/2007
Last updated
08/03/2020
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