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NPI Code Detail

MEDICARE: NICOLE SANTAMARIA OTR/L

MEDICARE:   NICOLE  SANTAMARIA  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 TherapistOT5839FL

General Provider Information

NPI Number : 1114333630
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE SANTAMARIA OTR/L
Provider Business Mailing Address
First Line : 2821 COACOOCHEE ST
Second Line :
City : MIAMI
State : FL
Zip : 33133-3316
Country : US
Telephone Number : 305-505-8997
Fax Number :
Provider Business Practice Location Address
First Line : 2821 COACOOCHEE ST
Second Line :
City : MIAMI
State : FL
Zip : 33133-3316
Country : US
Telephone Number : 305-505-8997
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2014
Last Update Date : 07/03/2014

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Directions to “ NICOLE SANTAMARIA OTR/L” Practice Location

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