Individual
ELIETTE JUNCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
335 NW 58TH AVE, MIAMI, FL 33126-4723
(786) 325-8621
Mailing address
335 NW 58TH AVE, MIAMI, FL 33126-4723
(786) 325-8621
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17950
FL
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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