MEDICARE: GROWING SENSATIONALLY PEDIATRIC OCCUPATIONAL THERAPY

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

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	:	1528506037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GROWING SENSATIONALLY PEDIATRIC OCCUPATIONAL THERAPY

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

Provider Enumeration Date	:	02/03/2017
Last Update Date	:	02/03/2017

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Directions to “GROWING SENSATIONALLY PEDIATRIC OCCUPATIONAL THERAPY ” Practice Location

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