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Individual

MS. MONICA L DAZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTA

Contact information

Practice address
814 N MAIN ST, KISSIMMEE, FL 34744-4564
(407) 931-1014
Mailing address
266 BRAVE RD, DAVENPORT, FL 33837-2104
(305) 812-0045

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11974
FL

Other

Enumeration date
01/13/2012
Last updated
03/10/2026
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