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NPI Code Detail

MEDICARE: AMIA SOLIVERA OTR/L

MEDICARE: AMIA SOLIVERA 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 TherapistOT16096FL

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 : 1225459670
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMIA SOLIVERA OTR/L
Provider Business Mailing Address
First Line : 4502 HIGHGATE DR
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-3558
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5065 WALLIS RD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33415-1947
Country : US
Telephone Number : 561-689-1799
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2014
Last Update Date : 01/02/2014

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Directions to “ AMIA SOLIVERA OTR/L” Practice Location

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