Individual
MISS INGRID BAZELAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3412 W 84TH ST STE 102, HIALEAH, FL 33018-4918
(305) 827-7344
Mailing address
11820 MIRAMAR PKWY STE 203, MIRAMAR, FL 33025-5817
(305) 494-6194
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11008
FL
Other
Enumeration date
03/14/2011
Last updated
05/26/2024
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