Individual
ANGELA CUCINELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2360 SW PETTIS SPRINGS CIR, GREENVILLE, FL 32331-3418
(850) 591-1302
Mailing address
2360 SW PETTIS SPRINGS CIR, GREENVILLE, FL 32331-3418
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15774
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15774
COTA LICENSE NUMBER
FL
Enumeration date
03/01/2017
Last updated
03/01/2017
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