Individual
NIMISHA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5433 W STATE ROAD 46, SANFORD, FL 32771-9236
(407) 324-7204
Mailing address
1690 ASTOR FARMS PL, SANFORD, FL 32771-8064
(407) 323-9085
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
COTA9888
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COTA9888
OT ASSISTANT LICENSE
FL
Enumeration date
03/29/2007
Last updated
07/08/2007
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