Mitchna Duclos, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA18204 Issued in FL

Practice address

3740 NE 10TH Ave
Oakland Park, FL 33334-2908

Phone

(954) 213-7448

NPI assigned

Apr 8, 2024

Last updated

Apr 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1770336182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 NE 10TH AVE",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333342908",
            "telephone_number": "954-213-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 NE 10TH AVE",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333342908",
            "telephone_number": "954-213-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCLOS",
        "first_name": "MITCHNA",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA18204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Robert Dorestin, APRN
• Yasmine Doukoure, PHARMD
• Henri Claude Douze, DC
• Dove Medical Centers LLC
• Dr Carlos Guerra PA
• Anjelica Dumas, LPC, LMHC
• Robin Duncan
• Danielle Nicole Duverge, COTA/L
• Jeffe Duverseau, APRN
• Anna Dykeman, LPCC

• Occupational Therapy Assistant in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.