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Lupe Collado, OTA/L

Occupational Therapy Assistant in Pembroke Pines, FL. Individual provider (NPI-1).

NPI number1669933685
StatusActive
Last updated in NPPESMar 31, 2019

Details

NPI
1669933685
Entity type
Individual (NPI-1)
Name
Lupe Collado
Credential
OTA/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 31, 2019
Last updated
Mar 31, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy AssistantOTA11351FLYes

Practice location

11529 Nw 10th St
Pembroke Pines, FL 33026-4330

Phone 954-649-3675

Mailing address

11529 Nw 10th St
Pembroke Pines, FL 33026-4330

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