Individual provider · NPI-1

Yaidel Acosta Toledo

Occupational Therapy Assistant · Hialeah, FL

NPI number1548842149
StatusActive
Last updated in NPPESApr 22, 2021

Details

NPI
1548842149
Entity type
Individual (NPI-1)
Name
Yaidel Acosta Toledo
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 22, 2021
Certification date
Apr 22, 2021
Last updated
Apr 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant17734FLYes

Practice location

17380 Nw 69th Ct Apt 508
Hialeah, FL 33015-7126

Phone 786-406-5162

Mailing address

17380 Nw 69th Ct Apt 508
Hialeah, FL 33015-7126

Phone 786-406-5162

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