Provider Demographics
NPI:1245712637
Name:ARRIOLA, MIRYAM STEPHANI (OTR)
Entity type:Individual
Prefix:
First Name:MIRYAM
Middle Name:STEPHANI
Last Name:ARRIOLA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11334 SW 70TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-1910
Mailing Address - Country:US
Mailing Address - Phone:786-351-0326
Mailing Address - Fax:
Practice Address - Street 1:19301 SW 87TH AVE
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-8904
Practice Address - Country:US
Practice Address - Phone:305-256-3578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-31
Last Update Date:2018-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL18819225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist