Individual
HOLLIS LAROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
15646 SE 89TH CT, SUMMERFIELD, FL 34491-5606
(321) 243-2236
Mailing address
15646 SE 89TH CT, SUMMERFIELD, FL 34491-5606
(321) 243-2236
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14377
FL
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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