ERICA YUSUPOV

HALLANDALE BEACH, FL
NPI1942800297
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: FL  21290)
Enumeration Date2020-10-27
Last Update Date2020-10-27
Business Address
ERICA YUSUPOV
1117 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL 33009-4488
Phone number: 954-458-5040
Mailing Address
ERICA YUSUPOV
2790 NE 201ST TER
AVENTURA, FL 33180-2099
Phone number: 602-561-8848