Individual
TATIANA PEREZ LENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
18430 NW 91ST CT, HIALEAH, FL 33018-6567
(786) 222-9297
Mailing address
18430 NW 91ST CT, HIALEAH, FL 33018-6567
(786) 222-9297
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12372
FL
252Y00000X
Early Intervention Provider Agency
OTA12372
FL
Other
Enumeration date
10/09/2012
Last updated
10/27/2023
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