MEDICARE: MRS. LAURA FIGUEROA 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
1	225X00000X	Occupational Therapist	OT10828	FL

General Provider Information

NPI Number	:	1598734683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAURA FIGUEROA OTR/L

Provider Business Mailing Address
First Line	:	61 NW 48TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33127-2415
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	61 NW 48TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33127-2415
Country	:	US
Telephone Number	:	786-266-0695
Fax Number	:

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	07/09/2007

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