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Individual
ANNIE AGOSTO
Active
Individual
ANNIE AGOSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1097
PR
225XM0800X
Mental Health Occupational Therapist
1097
PR
225XN1300X
Neurorehabilitation Occupational Therapist
1097
PR
225XP0019X
Physical Rehabilitation Occupational Therapist
1097
PR
225XP0200X
Pediatric Occupational Therapist
1097
PR
Other
Enumeration date
08/14/2009
Last updated
12/28/2020
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