Individual
JENNIFER CEBALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1356 W 82ND ST, HIALEAH, FL 33014-3458
(786) 246-3683
Mailing address
1356 W 82ND ST, HIALEAH, FL 33014-3458
(786) 246-3683
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11586
FL
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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