Individual
INALVYS FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
14221 SW 120TH ST, MIAMI, FL 33186-7236
(305) 603-7623
Mailing address
25371 SW 121 COURT, HOMESTEAD, FL 33032-3507
(786) 223-1233
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT19278
FL
Other
Enumeration date
09/26/2014
Last updated
02/08/2024
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