Individual
JOSEFINA CRUZ NUGUID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
851 W LUMSDEN RD, BRANDON, FL 33511-6280
(813) 661-8998
Mailing address
1115 LAKEMONT DR, VALRICO, FL 33594-6621
(813) 662-9770
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA4562
FL
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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