Individual
MR. CONRAD IBANEZ ALCALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
3201 W COMMERCIAL BLVD, SUITE 116, FORT LAUDERDALE, FL 33309-3440
(954) 332-4445
Mailing address
3201 W COMMERCIAL BLVD, SUITE 116, FORT LAUDERDALE, FL 33309-3440
(954) 332-4445
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
FL
225X00000X
Occupational Therapist
Primary
—
MD
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
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