DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KRISTIAN CARLOS LLACA, OTD,OTR/L, ATP,CSRS

Active Sole Proprietor

Neurorehabilitation Occupational Therapist · PEMBROKE PINES, FL

Registration Details

NPI Number
1265021992
Provider Type
Individual
Gender
Male
NPI Issued
Jan 17, 2021 (5.2615619220878 yrs)
Last Updated
Jan 17, 2021
Licenses
OT16273 (FL)
OT16273 (FL)
OT16273 (FL)
OT16273 (FL)
OT16273 (FL)
Sole Proprietor
Yes

Practice Information

Address
1239 NW 166TH AVE
PEMBROKE PINES, FL, 330281345
Browse FL providers · Browse ZIP 33028
Phone
3054310887
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.