Individual
JIA QIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
165 ROSETTE DR, WINTER SPRINGS, FL 32708-7123
(407) 409-8811
Mailing address
165 ROSETTE DR, WINTER SPRINGS, FL 32708-7123
(407) 409-8811
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3390
FL
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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