NPI 1053195941

Jorge Fonticiella, COTA

Practitioner Occupational Therapy Assistant Doral, FL

Practice location

Address: 8491 NW 17th St, Doral, FL 33126-1025
Phone: (305) 456-5542
Mailing address: 12342 SW 10th Ln, Miami, FL 33184-2445

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 19536 (FL)

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Registry record

NPI: 1053195941
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Aug 2023
Record last updated: 22 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.