Provider Demographics
NPI:1730504291
Name:VILADONS, CYNTHIA (OTA)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:VILADONS
Suffix:
Gender:F
Credentials:OTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:661 NE 195TH ST
Mailing Address - Street 2:APT.302
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-3338
Mailing Address - Country:US
Mailing Address - Phone:786-356-5022
Mailing Address - Fax:
Practice Address - Street 1:661 NE 195TH ST
Practice Address - Street 2:APT.302
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-3338
Practice Address - Country:US
Practice Address - Phone:786-356-5022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12510224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant