Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mariela Ines Miccio

Individual provider Developmental Therapist · NPI 1497163570

Mariela Ines Miccio is a Developmental Therapist in Fort Lauderdale, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

6160 SW 195th Ave
Fort Lauderdale, FL 33332-3391
Phone: (786) 348-6957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence OTA13468 (FL)

Record details

NPI number1497163570
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 1, 2014
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023

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