Individual
EMILYS MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR 31 KM 22.4, JUNCOS, PR 00777
(787) 679-6569
(787) 734-1633
Mailing address
3524 NE 19TH AVE, CAPE CORAL, FL 33909-3112
(239) 464-1566
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
224Z00000X
Occupational Therapy Assistant
1914-1
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1914-1
OCUPATIONAL THERAPY
PR
Enumeration date
05/04/2016
Last updated
03/12/2025
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