Individual provider · NPI-1

Jonathan E Alcindor, COTA/L

Occupational Therapy Assistant · Hialeah, FL

NPI number1760781876
StatusActive
Last updated in NPPESMar 16, 2011

Details

NPI
1760781876
Entity type
Individual (NPI-1)
Name
Jonathan E Alcindor
Credential
COTA/L
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 16, 2011
Last updated
Mar 16, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy AssistantOTA11237FLYes

Practice location

16969 Nw 67th Ave
Hialeah, FL 33015-4214

Phone 305-364-4431

Mailing address

10058 Nw 4th St
Pembroke Pines, FL 33024-6154

Phone 786-985-4431

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