MEDICARE: DORIS ANN DALMAU O.T.

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
1	225X00000X	Occupational Therapist	OT2540
2	225X00000X	Occupational Therapist	OT2540	FL
3	222Q00000X	Developmental Therapist	OT 2540	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1083833172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DORIS ANN DALMAU O.T.

Provider Business Mailing Address
First Line	:	7148 LAUREL LN
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-2664
Country	:	US
Telephone Number	:	786-457-5307
Fax Number	:

Provider Business Practice Location Address
First Line	:	7148 LAUREL LN
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-2664
Country	:	US
Telephone Number	:	786-457-5307
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	06/08/2023

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