Individual
KARINA MORENO MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7336 SW 25TH CT, DAVIE, FL 33317-7009
(954) 380-2961
Mailing address
7336 SW 25TH CT, DAVIE, FL 33317-7009
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17599
FL
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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