Individual
MS. IRENE IVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4251 SPRINGTREE DR, SUNRISE, FL 33351-6119
(954) 572-4251
Mailing address
4251 SPRINGTREE DR, SUNRISE, FL 33351-6119
(954) 572-4251
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15171
FL
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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