Individual
OTAMI D LAM RUBIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7705 W 29TH WAY APT 101, HIALEAH, FL 33018-7221
(786) 253-3746
Mailing address
7705 W 29TH WAY APT 101, HIALEAH, FL 33018-7221
(786) 253-3746
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-20-11302
FL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/23/2016
Last updated
02/22/2023
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