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Individual

AILEC GUERRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
15150 BULL RUN RD, MIAMI LAKES, FL 33014-2167
(305) 364-0969
Mailing address
7010 NW 173RD DR APT 1904, HIALEAH, FL 33015-5519
(786) 494-6358

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT19552
FL

Other

Enumeration date
06/12/2019
Last updated
06/12/2019
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