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Individual

ELENA COTAYO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
7692 NW 19TH ST, PEMBROKE PINES, FL 33024-3633
(954) 612-5027
Mailing address
7692 NW 19TH ST, PEMBROKE PINES, FL 33024-3633

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19806
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19806
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
02/12/2019
Last updated
02/12/2019
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