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Individual

LARISSA DASILVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
53 ASH DR, HOLLYWOOD, FL 33026-1102
(407) 516-7170
Mailing address
1540 NE 34TH CT, POMPANO BEACH, FL 33064-6234
(561) 254-6166

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16679
FL

Other

Enumeration date
10/30/2018
Last updated
10/30/2018
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