Provider Demographics
NPI:1447771134
Name:VALERIA F CAMPORRO OTR/L INC
Entity Type:Organization
Organization Name:VALERIA F CAMPORRO OTR/L INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALERIA
Authorized Official - Middle Name:F
Authorized Official - Last Name:CAMPORRO
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:786-201-0611
Mailing Address - Street 1:1401 SW 14TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-1533
Mailing Address - Country:US
Mailing Address - Phone:786-201-0611
Mailing Address - Fax:954-252-2132
Practice Address - Street 1:1401 SW 14TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-1533
Practice Address - Country:US
Practice Address - Phone:786-201-0611
Practice Address - Fax:954-252-2132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT12725225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty