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1487123196
CELIA DEBBIE REVILLA
MIRAMAR, FL
NPI
1487123196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT17750)
Enumeration Date
2018-11-26
Last Update Date
2018-11-26
Business Address
CELIA DEBBIE REVILLA OTR/L
12246 MIRAMAR PKWY
MIRAMAR, FL 33025-7016
Phone number: 954-517-8931
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Mailing Address
CELIA DEBBIE REVILLA OTR/L
5300 PASEO BLVD APT 1212
DORAL, FL 33166-5358
Phone number: 954-517-8931
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