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Individual

FREDD TIRADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L, CHT

Contact information

Practice address
9415 SUNSET DR, STE 111, MIAMI, FL 33173-5427
(786) 507-8278
(786) 409-2692
Mailing address
21756 STATE ROAD 54 STE 102, LUTZ, FL 33549-2905
(727) 475-5540
(844) 213-8986

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10350
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT10350
OT LICENSE
FL
Enumeration date
09/26/2006
Last updated
05/07/2020
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