Individual provider · NPI-1

Michaelle Maxi

Developmental Therapist · Greenacres, FL

NPI number1922511914
StatusActive
Last updated in NPPESNov 13, 2017

Details

NPI
1922511914
Entity type
Individual (NPI-1)
Name
Michaelle Maxi
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 13, 2017
Last updated
Nov 13, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

2240 White Pine Cir Apt A
Greenacres, FL 33415-6044

Phone 561-307-0637

Mailing address

2240 White Pine Cir Apt A
Greenacres, FL 33415-6044

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