Individual
ROSE LAURE LOUIS RESIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1404 S DIXIE HWY UNIT 2310, LANTANA, FL 33462-5524
(786) 380-7903
Mailing address
752 NE 162ND ST, MIAMI, FL 33162-3668
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18144
FL
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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