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Individual

HOLLYCE LAUREN ROSENBLUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
3050 BROWN AVE, MOUNT DORA, FL 32757-3453
(352) 383-4161
Mailing address
3152 FLORAL WAY E, APOPKA, FL 32703-6611
(407) 733-4975

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11896
FL

Other

Enumeration date
10/05/2011
Last updated
10/05/2011
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