Individual
CHAUNTEL ALTIDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 NW 191ST ST, MIAMI GARDENS, FL 33169-3916
(954) 439-8892
Mailing address
650 NW 191ST ST, MIAMI GARDENS, FL 33169-3916
(954) 439-8892
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20475
FL
Other
Enumeration date
01/05/2020
Last updated
11/04/2025
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