Individual
ALICIA MACHUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
12100 SW 218TH ST, APT 21, MIAMI, FL 33170-2837
(786) 339-0580
Mailing address
12100 SW 218TH ST, MIAMI, FL 33170-2837
(786) 339-0580
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT 4949
FL
Other
Enumeration date
11/20/2006
Last updated
03/31/2015
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