Individual
RENE MICHAEL ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
1800 N WABASH RD, MARION, IN 46952-1300
(765) 664-5400
Mailing address
8475 JAMESTOWN DR, WINTER HAVEN, FL 33884-4820
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12090
FL
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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