Provider Demographics
NPI:1881839215
Name:CORTINA, YAMILKA (C OTA)
Entity Type:Individual
Prefix:
First Name:YAMILKA
Middle Name:
Last Name:CORTINA
Suffix:
Gender:F
Credentials:C OTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5871 NW 193RD ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-7001
Mailing Address - Country:US
Mailing Address - Phone:786-663-8599
Mailing Address - Fax:
Practice Address - Street 1:4160 W 16TH AVE
Practice Address - Street 2:SUITE 306
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-5853
Practice Address - Country:US
Practice Address - Phone:305-698-7002
Practice Address - Fax:305-698-7008
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-15
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA 9973224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant