Ivette De La Rosa OT

NPI 1013024686 - Occupational Therapist - 225XP0200X

NPI Details
NPI 1013024686
Gender Female
Enumeration Date 08/23/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
971 VIRGINIA AVE
SUITE A
PALM HARBOR FL, 34683-5235, US
Phone (727) 773-2687
Fax (727) 773-2742
Business Location
13840 VANDERBILT RD
ODESSA FL, 33556-1784, US
Phone (813) 841-9194
Fax
Toxanomy
Taxonomy Code 225XP0200X
License State Florida
License Number OT10194
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According to our database, Ivette De La Rosa OT NPI is 1013024686, taxonomy code is 225XP0200X and license number is OT10194, license state is located at Florida. Ivette De La Rosa OT physically located at 971 Virginia Ave, Palm Harbor FL, 34683-5235. NPI Number Ivette De La Rosa OT has the Individual type.

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1013024686 NPI number is provided on an as is basis without warranty of any kind. 1013024686 is maintained by the National Plan & Provider Enumeration System. The contents of Ivette De La Rosa OT are for informational purposes only.