Individual
BRIANNA MACZON-CAMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12750 SW 128TH ST, MIAMI, FL 33186-5379
(786) 646-0091
Mailing address
12750 SW 128TH ST, MIAMI, FL 33186-5379
(786) 646-0091
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT24598
FL
Other
Enumeration date
10/02/2023
Last updated
10/06/2023
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