Mogollon Olivera, Loreta

Mogollon Olivera, Loreta is an sole proprietor health care provider with primary practice located at 13590 Sw 134Th Ave , Miami FL 33186-4561. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Mogollon Olivera, Loreta can be contacted via phone (786) 732-6646.

Contact Information

Primary practice address
13590 Sw 134Th Ave Miami FL 33186-4561
Phone: (786) 732-6646
Fax: (786) 842-3218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 11333 Florida

Profile Details

NPI number 1952846131
LBN Legal business name Mogollon Olivera, Loreta
Credentials COTA/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2016
Last updated Dec 27th, 2016 - about 10 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 1952846131 NPPES
Florida Other OTA 11333 DOH

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