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Individual

CYNTHIA MESA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
447 NW 73RD AVE, PLANTATION, FL 33317-1608
(954) 583-7383
Mailing address
5461 NW 83 WAY, CORAL SPRINGS, FL 33067
(954) 347-7847

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT9862
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8865167
FL
Enumeration date
11/06/2006
Last updated
07/08/2007
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