Individual
MRS. MARISOL DE LA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1316 E ELLICOTT ST, TAMPA, FL 33603-2532
(813) 232-5852
(813) 232-5852
Mailing address
1316 E ELLICOTT ST, TAMPA, FL 33603-2532
(813) 232-5852
(813) 232-5852
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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