Individual
ALICIA M MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, COTA (RET)
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA 14848
FL
225700000X
Massage Therapist
Primary
24185
OR
225700000X
Massage Therapist
MA41682
FL
Other
Enumeration date
04/28/2010
Last updated
04/27/2025
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