Individual provider · Type 1 NPI

Mariela Ines Miccio

Developmental Therapist · Fort Lauderdale, FL

NPI number 1497163570 Active

Practice location

6160 SW 195th Ave
Fort Lauderdale, FL 33332-3391

Call (786) 348-6957 Map

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed
Occupational Therapy Assistant 224Z00000XOTA13468 (FL)

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1497163570

Mariela Ines Miccio's National Provider Identifier is 1497163570, issued on Aug 1, 2014. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jul 10, 2023.