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NPI Code Detail

MEDICARE: LEISY MORALES OTR/L

MEDICARE:   LEISY  MORALES  OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT21351FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023605698
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEISY MORALES OTR/L
Provider Business Mailing Address
First Line : 20319 NW 52ND AVE
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33055-6613
Country : US
Telephone Number : 786-600-9628
Fax Number :
Provider Business Practice Location Address
First Line : 8333 W OKEECHOBEE RD
Second Line :
City : HIALEAH
State : FL
Zip : 33016-2109
Country : US
Telephone Number : 305-556-9900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2020
Last Update Date : 12/29/2020

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Directions to “ LEISY MORALES OTR/L” Practice Location

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