Healthcare Provider Details

I. General information

NPI: 1609179829
Provider Name (Legal Business Name): CHRISTOPHER A CARDANI OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2010
Last Update Date: 12/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9055 SW 87TH AVE STE 312
MIAMI FL
33176-2306
US

IV. Provider business mailing address

9055 SW 87TH AVE STE 312
MIAMI FL
33176-2306
US

V. Phone/Fax

Practice location:
  • Phone: 305-412-9099
  • Fax: 305-412-9098
Mailing address:
  • Phone: 305-412-9099
  • Fax: 305-412-9098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License NumberOT14146
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT14146
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: