Individual
MRS. NICOLE ARLENE ANTOMARCHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
10200 NW 25TH ST, DORAL, FL 33172-5921
(786) 294-5904
Mailing address
281 W 34TH ST, HIALEAH, FL 33012-4307
(786) 294-5904
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT20392
FL
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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