Individual
ANTHONY JAMES MACAISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
5200 NE 2ND AVE, MIAMI, FL 33137-2706
(305) 751-8626
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(352) 448-7857
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA15002
FL
225X00000X
Occupational Therapist
Primary
OT21109
FL
Other
Enumeration date
09/21/2019
Last updated
10/14/2020
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