Individual
WILDA SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.A.
Contact information
Practice address
10501 ROCHESTER WAY, TAMPA, FL 33626-1711
(813) 833-0090
(813) 852-6373
Mailing address
10501 ROCHESTER WAY, TAMPA, FL 33626-1711
(813) 833-0090
(813) 852-6373
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12730
FL
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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