Individual
ANGIE LISSETTE BOLANOS-ESCALONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1401 E 4TH AVE, STE 204, HIALEAH, FL 33010-3504
(786) 348-6361
(866) 665-8671
Mailing address
15751 SHERIDAN ST, STE 162, FORT LAUDERDALE, FL 33331-3486
(786) 348-6361
(866) 665-8671
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9463
FL
Other
Enumeration date
02/24/2010
Last updated
02/26/2026
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