Avian Wise

NPI #1902224579 in Miramar, Florida

Provider Information

NPI Number: 1902224579
Entity Type: Individual
Name: Avian Wise
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Apr 1, 2014
Last Updated: Jul 21, 2014

Practice Location

Address: 3909 E WOODSCAPE DR
City: Miramar
State: Florida
ZIP Code: 33023-6631
Phone: (954) 391-3710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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