Individual
ISMARY VALDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8181 NW 154TH ST STE 115, MIAMI LAKES, FL 33016-5861
(786) 477-5783
(305) 512-8805
Mailing address
1031 NW 188TH AVE, PEMBROKE PINES, FL 33029-2914
(954) 274-3590
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15553
FL
Other
Enumeration date
11/07/2016
Last updated
11/08/2016
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