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Individual
MRS. IDANIA ROLDAN
Active
Individual
MRS. IDANIA ROLDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.L.
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1064
PR
225XE1200X
Ergonomics Occupational Therapist
1064
PR
225XH1200X
Hand Occupational Therapist
1064
PR
225XH1300X
Human Factors Occupational Therapist
1064
PR
225XN1300X
Neurorehabilitation Occupational Therapist
1064
PR
225XP0200X
Pediatric Occupational Therapist
1064
PR
Other
Enumeration date
03/21/2006
Last updated
02/06/2008
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