Provider Demographics
NPI:1124465315
Name:LABRADA, MARIEM (COTA)
Entity type:Individual
Prefix:MS
First Name:MARIEM
Middle Name:
Last Name:LABRADA
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8837 NW 114TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-1900
Mailing Address - Country:US
Mailing Address - Phone:305-300-1038
Mailing Address - Fax:
Practice Address - Street 1:5881 NW 151ST ST
Practice Address - Street 2:SUITE 123
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2450
Practice Address - Country:US
Practice Address - Phone:305-300-1038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant