Individual
DENISE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
2402 MELISSA ANN CT, KISSIMMEE, FL 34746-3595
(757) 575-8925
Mailing address
2402 MELISSA ANN CT, KISSIMMEE, FL 34746-3595
(757) 575-8925
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11870
FL
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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