Individual
JAVIER TELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
9820 N KENDALL DR FL 1, MIAMI, FL 33176-1816
(305) 271-6311
Mailing address
14807 SW 60TH ST, MIAMI, FL 33193-2448
(786) 389-2932
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13045
FL
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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