Provider Demographics
NPI:1538466446
Name:SALIBA, STEFANIE (OTR/L)
Entity Type:Individual
Prefix:
First Name:STEFANIE
Middle Name:
Last Name:SALIBA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 WEST AVE
Mailing Address - Street 2:SUITE #1411
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-4759
Mailing Address - Country:US
Mailing Address - Phone:305-301-7352
Mailing Address - Fax:
Practice Address - Street 1:11251 NW 20TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-1859
Practice Address - Country:US
Practice Address - Phone:305-301-7352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-12
Last Update Date:2011-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT14314225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist