Individual
CARMEN L OCAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
8168 NW 10TH ST APT 4, MIAMI, FL 33126-2829
(786) 546-6595
Mailing address
8168 NW 10TH ST APT 4, MIAMI, FL 33126-2829
(786) 546-6595
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26012
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA26012
FLORIDA STATE LICENSE
FL
Enumeration date
11/01/2010
Last updated
10/25/2022
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