Provider Demographics
NPI:1518212489
Name:SIBILIA, SOL ANGELA (OT)
Entity Type:Individual
Prefix:
First Name:SOL
Middle Name:ANGELA
Last Name:SIBILIA
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 NE 191ST ST
Mailing Address - Street 2:APARTMENT E23
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33179-4088
Mailing Address - Country:US
Mailing Address - Phone:786-423-8523
Mailing Address - Fax:
Practice Address - Street 1:1100 NE 191ST ST
Practice Address - Street 2:APARTMENT E23
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33179-4088
Practice Address - Country:US
Practice Address - Phone:786-423-8523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-17
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14517225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist