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Individual

CARMEN JULIA RICO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13422 SW 280TH TER, HOMESTEAD, FL 33033-7359
(786) 252-9611
Mailing address
13422 SW 280TH TER, HOMESTEAD, FL 33033-7359
(786) 252-9611

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16647
FL

Other

Enumeration date
03/31/2020
Last updated
03/31/2020
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