Mbiza, Sarah Tistsi

Mbiza, Sarah Tistsi is an sole proprietor health care provider with primary practice located at 12941 Nw 2Nd St , Pembroke Pines FL 33028-2295. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mbiza, Sarah Tistsi can be contacted via phone (954) 271-2730.

Contact Information

Primary practice address
12941 Nw 2Nd St Pembroke Pines FL 33028-2295
Phone: (954) 271-2730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT-8092 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY10089 Florida

Profile Details

NPI number 1134263551
LBN Legal business name Mbiza, Sarah Tistsi
Credentials PHD, OTR/L, CRC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2007
Last updated Nov 13th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134263551 NPPES
Florida MEDICAID 888716100

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