Provider Demographics
NPI:1487945085
Name:CUETO, TERESITA DE JESUS (OTR/L)
Entity type:Individual
Prefix:MS
First Name:TERESITA
Middle Name:DE JESUS
Last Name:CUETO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8567 CORAL WAY # 451
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-2335
Mailing Address - Country:US
Mailing Address - Phone:786-853-3308
Mailing Address - Fax:786-388-8483
Practice Address - Street 1:7575 SW 32ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-2751
Practice Address - Country:US
Practice Address - Phone:786-853-3308
Practice Address - Fax:786-388-8483
Is Sole Proprietor?:No
Enumeration Date:2011-04-29
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT10075225XL0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XL0004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistLow Vision