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Individual

PAULA SEGARRA CAMPOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
6000 S RIO GRANDE AVE STE 206, ORLANDO, FL 32809-4650
(407) 280-3776
(407) 454-9007
Mailing address
6000 S RIO GRANDE AVE STE 206, ORLANDO, FL 32809-4650
(407) 280-3776
(407) 454-9007

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15611
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OTA15611
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
12/03/2019
Last updated
12/03/2019
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