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Theodora Harriette

NPI 1912381914 · on the registry since 2015 · sole proprietor

Practice

Address
3180 Biscayne Blvd
Miami, FL 33137
Phone
(305) 573-3784
Organisation at this address
Concept House, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-07-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida