Individual
ALEXANDREA WIDOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3825 COUNTRYSIDE BLVD N, PALM HARBOR, FL 34684-4928
(727) 784-2848
Mailing address
510 W 122ND AVE, TAMPA, FL 33612-4107
(813) 300-4797
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14493
FL
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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