Individual
GENEVIEVE NICOLE MACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
6055 NW 104TH AVE STE 2, DORAL, FL 33178-4867
(786) 476-5155
Mailing address
13432 SW 14TH TER, MIAMI, FL 33184-3330
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT21427
FL
Other
Enumeration date
05/14/2021
Last updated
12/02/2025
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