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Individual

NYLAH DARLENE LUMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ORT/L

Contact information

Practice address
520 NW 165TH ST STE 205, MIAMI, FL 33169-6343
(786) 623-4053
Mailing address
1912 S OCEAN DR APT 16C, HALLANDALE BEACH, FL 33009-5969
(707) 486-2523

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
17497
CA
225X00000X
Occupational Therapist
21733
FL
225XP0200X
Pediatric Occupational Therapist
17497
CA
225XP0200X
Pediatric Occupational Therapist
Primary
21733
FL

Other

Enumeration date
04/02/2021
Last updated
04/02/2021
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